Active NPI
Pike Medical Inc
- Internal Medicine Physician
- Waverly, OH
National Provider Identifier
1205906245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 003920
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2915251 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Nurse Practitioner
- Chillicothe, OH
- NPI 1245534031
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1073548921
-
- Registered Dietitian
- Orient, OH
- NPI 1639474000
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.