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Adena Health System

Organization Active NPI Cardiovascular Disease Physician · Chillicothe, OH

NPI 1265624787 · NPPES record last updated Jun 3, 2014

Key facts

NPI
1265624787
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
ADENA HEALTH SYSTEM
Practice address
4437 State Route 159
Suite 125
Chillicothe, OH 45601-7065
Phone
(740) 779-4570
Fax
(740) 779-4579
NPI assigned
Aug 17, 2007
Organization subpart
No

Authorized official

Name
Robert M Rosenberger
Title
Cfo
Phone
(740) 779-7582

Corporate family (same tax ID) 41

Organizations that report the same tax identification number in the National Provider Directory.

View all 41

National Provider Directory

Tax ID family
Parks OBGYN Associates (42 organizations share this tax ID)

Locations

272 Hospital Rd
Ste 3
Chillicothe, OH 45601
Phone (740) 779-8234

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207RC0000X Yes

Addresses

Primary practice location

4437 State Route 159
Suite 125
Chillicothe, OH 45601-7065

Mailing address

272 Hospital Rd
Suite 3
Chillicothe, OH 45601-9031
Phone (740) 779-4460

Other identifiers

IdentifierTypeStateIssuer
1475685MedicaidOH

Other names

  • Advanced Cardiology Consultants Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 3, 2014.

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1265624787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "address_2": "SUITE 3",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4460",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4437 STATE ROUTE 159",
            "address_2": "SUITE 125",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456017065",
            "telephone_number": "740-779-4570",
            "fax_number": "740-779-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "ROSENBERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-779-7582"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Cardiology Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chillicothe, OH

All providers in Chillicothe, OH · Cardiovascular Disease Physician in Ohio

Sources for this page

Verify at the official NPI Registry.