Organization Active NPI

James M Vodvarka DO

  • Internal Medicine Physician
  • Steubenville, OH
National Provider Identifier
1174568356
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34004932 Issued in OH
Legal business name
JAMES M VODVARKA DO
Practice address
141 Brady Cir W
Steubenville, OH 43952-1411
Phone
(740) 282-8018
Fax
(740) 282-8043
NPI assigned
Jun 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. James M Vodvarka, DO
Title
Owner
Phone
(740) 282-8018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34004932 OH Primary

Addresses

Primary practice location

141 Brady Cir W
Steubenville, OH 43952-1411

Mailing address

141 Brady Cir W
Steubenville, OH 43952-1411
Phone (740) 282-8018

Other identifiers 2

IdentifierTypeStateIssuer
3810005481MedicaidWV
2650297MedicaidOH

National Provider Directory

National Provider Directory

Locations

1852 Sinclair Ave
Steubenville, OH 43953
Phone (740) 264-7101

524 Canton Rd
Wintersville, OH 43953
Phone (740) 264-7788

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174568356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 BRADY CIR W",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521411",
            "telephone_number": "740-282-8018",
            "fax_number": "740-282-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 BRADY CIR W",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439521411",
            "telephone_number": "740-282-8018",
            "fax_number": "740-282-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M VODVARKA DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VODVARKA",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-282-8018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34004932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810005481",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2650297",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.