Organization Active NPI

Pike Medical Inc

  • Internal Medicine Physician
  • Waverly, OH
National Provider Identifier
1205906245
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
003920 Issued in OH
Legal business name
PIKE MEDICAL INC
Practice address
13800 US Route 23 North
Waverly, OH 45690-9373
Phone
(740) 947-8602
Fax
(740) 947-7943
NPI assigned
Nov 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Daniel K Madsen, D.O.
Title
President of Corp
Phone
(740) 947-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 003920 OH Primary

Addresses

Primary practice location

13800 US Route 23 North
Waverly, OH 45690-9373

Mailing address

PO Box 2018
Chillicothe, OH 45601-8018
Phone (740) 947-8602

Other identifiers 1

IdentifierTypeStateIssuer
2915251MedicaidOH

National Provider Directory

National Provider Directory

Locations

13800 US Highway 23
Waverly, OH 45690
Phone (740) 947-2480

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1205906245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2018",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018018",
            "telephone_number": "740-947-8602",
            "fax_number": "740-947-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 US ROUTE 23 NORTH",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909373",
            "telephone_number": "740-947-8602",
            "fax_number": "740-947-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIKE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT OF CORP",
        "authorized_official_telephone_number": "740-947-8602",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "003920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2915251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; 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.