Organization Active NPI

Pickaway Health Services

  • Family Medicine Physician
  • Laurelville, OH
National Provider Identifier
1194822536
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PICKAWAY HEALTH SERVICES
Practice address
18360 Laurel Street
Laurelville, OH 43135
Phone
(740) 332-3332
Fax
(740) 332-1212
NPI assigned
Sep 20, 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
Wendy C Elliott
Title
Executive Director
Phone
(740) 420-8078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

18360 Laurel Street
Laurelville, OH 43135

Mailing address

617 Lancaster Pike
Suite C
Circleville, OH 43113-8826
Phone (740) 420-8078

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194822536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 LANCASTER PIKE",
            "address_2": "SUITE C",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138826",
            "telephone_number": "740-420-8078",
            "fax_number": "740-477-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18360 LAUREL STREET",
            "city": "LAURELVILLE",
            "state": "OH",
            "postal_code": "43135",
            "telephone_number": "740-332-3332",
            "fax_number": "740-332-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKAWAY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-420-8078"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelville, 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.