Individual provider Active NPI

David Jacob Heath, DO, MS, ATC

  • Emergency Medicine Physician
  • Massillon, OH
National Provider Identifier
1306834809
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.010641 Issued in OH
Practice address
875 8TH St NE
Massillon, OH 44646-8503
Phone
(330) 832-8761
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT 0000000793 TN
Emergency Medicine Physician 207P00000X 34.010641 OH Primary

Addresses

Primary practice location

875 8TH St NE
Massillon, OH 44646-8503

Mailing address

875 8TH St NE
Massillon, OH 44646-8503
Phone (330) 832-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141021003114 OH Practitioner - Emergency Medicine 5294956967 Reassigns benefits to 3 organizations
I20150831001386 KY Practitioner - Emergency MedicinePractitioner - Sports Medicine 5294956967 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lincoln Memorial University Medical Department, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohio Valley Physicians IncGroup PAC ID 8729032966, 130 clinicians

Practice addresses (Care Compare)

55 Hospital Dr
Athens, OH 45701-2302
Phone (740) 592-9349

Hospital & facility affiliations

  • Southeastern Ohio Regional Medical Center Hospital, Cambridge, OH, CCN 360203
  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Master of Science

State licenses

LicenseStateTypeSpecialty
AT 0000000793TNMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Ohio Valley Physicians Inc Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Feb 1, 2020 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jul 20, 2015 Accepting new patients

Locations

1 Trillium Way
Corbin, KY 40701
Phone (606) 523-8521

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

1341 Clark St
Cambridge, OH 43725
Phone (614) 439-8900

1341 Clark St
Ste 1
Cambridge, OH 43725

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1306834809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 8TH ST NE",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446468503",
            "telephone_number": "330-832-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "DAVID",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "DO, MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": "AT 0000000793",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.010641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.