Jay Richard Lugibihl, D.O.
Individual provider Active NPI Family Medicine Physician · Hanoverton, OH
NPI 1295764280 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1295764280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34003675L (OH)
- Practice address
- 29627 St. RT. 30
Hanoverton, OH 44423 - Phone
- (330) 223-1547
- Fax
- (330) 223-1911
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- SCH Professional Corporation
Practice addresses (Care Compare)
29627 State Route 30
Hanoverton, OH 44423
Phone (330) 223-1547
29627 State Route 30
P.O. Box 195
Hanoverton, OH 44423-0195
750 E Park Ave
Columbiana, OH 44408-1448
Phone (330) 892-0442
PO Box
Suite 195
Hanoverton, OH 44423
PO Box
Suite 195
Hanoverton, OH 44423-0195
Hospital & facility affiliations
- Patriot Homecare, Inc
- Akeso Home Health Care Inc
- Salem Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 37.06 of 100
- Quality
- 25
- Improvement activities
- 0
- Cost
- 90.19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070321000390 | OH | Practitioner - Family Practice | 7214030766 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34003675L | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jay Lugibihl, D.O., Inc. | Family Medicine | Current |
Accepting new patients |
| SCH Professional Corporation | Family Medicine | Current |
Accepting new patients |
Locations
750 E Park Ave
Columbiana, OH 44408
Phone (330) 337-3332
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34003675L | OH | Yes |
Addresses
Primary practice location
29627 St. RT. 30
Hanoverton, OH 44423
Mailing address
29627 St. RT. 30
P.O. Box 195
Hanoverton, OH 44423
Phone (330) 223-1547
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0609023 | Medicaid | OH |
NPI Registry JSON
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295764280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29627 ST. RT. 30",
"address_2": "P.O. BOX 195",
"city": "HANOVERTON",
"state": "OH",
"postal_code": "44423",
"telephone_number": "330-223-1547",
"fax_number": "330-223-1911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29627 ST. RT. 30",
"city": "HANOVERTON",
"state": "OH",
"postal_code": "44423",
"telephone_number": "330-223-1547",
"fax_number": "330-223-1911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUGIBIHL",
"first_name": "JAY",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34003675L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0609023",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hanoverton, OH
- Community Action Agency of Columbiana County Inc
- Gwendolyn Huff
- Kristen Ann Renee Huffman
- Jay Lugibihl, D.O., Inc.
- Christine Leheny
- Riley Manypenny
- Rebecca Miller
- Kimberly Michelle Myers
- Sandi Elizabeth Phillips
- Robin Stewart
All providers in Hanoverton, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.