Organization Active NPI

Adena Medical Group LLC

  • Family Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1235468083
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADENA MEDICAL GROUP LLC
Practice address
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone
(740) 779-7500
Fax
(740) 779-4257
NPI assigned
Dec 8, 2009
Last updated
Nov 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Authorized official

Name
Jeffrey J Graham
Title
Ceo
Phone
(740) 779-8058

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X
Dermatology Physician 207N00000X
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Interventional Cardiology Physician 207RI0011X
Obstetrics Physician 207VX0000X
Orthopaedic Surgery Physician 207X00000X
Pediatrics Physician 208000000X
Occupational Medicine Physician 2083X0100X
Psychiatry Physician 2084P0800X
Surgery Physician 208600000X
Urology Physician 208800000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
Hospitalist Physician 208M00000X
Pain Medicine Physician 208VP0000X

Addresses

Primary practice location

272 Hospital Rd
Chillicothe, OH 45601-9031

Mailing address

272 Hospital Rd Ste 6
Chillicothe, OH 45601-9031
Phone (740) 779-4222

Other identifiers 1

IdentifierTypeStateIssuer
3023945MedicaidOH

Other names 1

  • Adena Health System Sole Mbr Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100323001007 OH Part B Supplier - Clinic/Group Practice 1153456579 Receives reassigned benefits from 788 practitioners
Practice locations: Greenfield, OH; Columbus, OH; Circleville, OH; Chillicothe, OH; Hillsboro, OH; Wellston, OH; Waverly, OH; Washington Court House, OH…

National Provider Directory

National Provider Directory

Locations (25 of 75)

110 Vaughn Ln
Ste 20
Chillicothe, OH 45601
Phone (740) 779-7201

138 Sandusky Rd
Chillicothe, OH 45601
Phone (740) 773-4103

1450 N Bridge St
Chillicothe, OH 45601
Phone (740) 779-5630

1470 N Bridge St
Chillicothe, OH 45601
Phone (740) 773-8402

242 Hospital Rd Ste G15
Chillicothe, OH 45601

272 Hospital Rd
Fl 2
Chillicothe, OH 45601

272 Hospital Rd
Ste 115
Chillicothe, OH 45601
Phone (740) 779-4360

272 Hospital Rd
Ste 120
Chillicothe, OH 45601
Phone (740) 779-7201

272 Hospital Rd
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

272 Hospital Rd
Ste 130
Chillicothe, OH 45601

272 Hospital Rd
Ste 150
Chillicothe, OH 45601
Phone (740) 779-7070

272 Hospital Rd
Ste 160
Chillicothe, OH 45601

272 Hospital Rd
Ste 210
Chillicothe, OH 45601
Phone (740) 779-8530

272 Hospital Rd
Ste 225
Chillicothe, OH 45601
Phone (740) 779-8530

272 Hospital Rd
Ste 260
Chillicothe, OH 45601
Phone (740) 779-4370

272 Hospital Rd
Ste 270
Chillicothe, OH 45601
Phone (740) 779-4550

272 Hospital Rd
Ste 280
Chillicothe, OH 45601

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

272 Hospital Rd
Ste G10
Chillicothe, OH 45601
Phone (740) 779-4300

272 Hospital Rd
Ste G15
Chillicothe, OH 45601
Phone (740) 779-8580

272 Hospital Rd
Ste G25
Chillicothe, OH 45601
Phone (740) 542-4000

272 Hospital Rd
Ste G35
Chillicothe, OH 45601
Phone (740) 779-8728

272 Hospital Rd
Ste G50
Chillicothe, OH 45601
Phone (740) 779-2873

272 Hospital Rd
Ste G70
Chillicothe, OH 45601
Phone (740) 779-4393

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

Interoperability endpoints

  • Direct secure messaging: adena@adena.medicity.net

Practitioners & affiliated clinicians

Practitioners 882

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 882

NPI Registry JSON

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1235468083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD STE 6",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4222",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-7500",
            "fax_number": "740-779-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-08",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-779-8058"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3023945",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena@adena.medicity.net",
            "affiliation": "N",
            "address_1": "272 Hospital Rd",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456019031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Adena Health System Sole Mbr",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adena Health System Sole Mbr",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chillicothe, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.