Organization Active NPI

Neal J. Nesbitt, M.D., Inc.

  • Surgery Physician
  • Athens, OH
National Provider Identifier
1215150560
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35064804 Issued in OH
Legal business name
NEAL J. NESBITT, M.D., INC.
Practice address
75 Hospital Dr
Suite 310
Athens, OH 45701-2857
Phone
(740) 594-6100
Fax
(740) 594-6903
NPI assigned
Apr 11, 2007
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
Neal James NesbittNPI 1710942594
Title
Owner
Phone
(740) 594-6100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 35064804 OH Primary

Addresses

Primary practice location

75 Hospital Dr
Suite 310
Athens, OH 45701-2857

Mailing address

75 Hospital Dr
Suite 310
Athens, OH 45701-2857
Phone (740) 594-6100

Other identifiers 1

IdentifierTypeStateIssuer
2550378MedicaidOH

National Provider Directory

National Provider Directory

Locations

75 Hospital Dr
Ste 310
Athens, OH 45701
Phone (740) 594-6100

65 Hospital Dr
Ste C
Athens, OH 45701
Phone (740) 594-6100

Practitioners & affiliated clinicians

Practitioners 2

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": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215150560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DR",
            "address_2": "SUITE 310",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012857",
            "telephone_number": "740-594-6100",
            "fax_number": "740-594-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HOSPITAL DR",
            "address_2": "SUITE 310",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012857",
            "telephone_number": "740-594-6100",
            "fax_number": "740-594-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEAL J. NESBITT, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NESBITT",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-594-6100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35064804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2550378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, 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.