NPIMap

Organization Active NPI

Adena Health System

Doing business as Paint Creek Family Practice

  • Family Medicine Physician
  • Greenfield, OH
National Provider Identifier
1295912210
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADENA HEALTH SYSTEM
Doing business as
Paint Creek Family Practice
Practice address
536 Mirabeau St
Greenfield, OH 45123-1457
Phone
(937) 981-9444
Fax
(937) 981-9448
NPI assigned
Jan 22, 2008
Last updated
Jun 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

536 Mirabeau St
Greenfield, OH 45123-1457

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
1475685MedicaidOH

Other names 1

  • Paint Creek Family Practice Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parks OBGYN Associates42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1295912210",
    "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": "536 MIRABEAU ST",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451231457",
            "telephone_number": "937-981-9444",
            "fax_number": "937-981-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "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": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paint Creek Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.