Organization Active NPI

Medical Serices of Coshocton, Inc

  • Surgery Physician
  • Coshocton, OH
National Provider Identifier
1306886627
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35080169 Issued in OH
Legal business name
MEDICAL SERICES OF COSHOCTON, INC
Practice address
311 S 15TH St
Coshocton, OH 43812-1873
Phone
(740) 622-0799
Fax
(740) 622-0636
NPI assigned
Jun 7, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Robert Miller
Title
Ceo
Phone
(740) 623-4009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 35080169 OH Primary

Addresses

Primary practice location

311 S 15TH St
Coshocton, OH 43812-1873

Mailing address

PO Box 57
West Lafayette, OH 43845-0057

Other identifiers 1

IdentifierTypeStateIssuer
2006742MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1306886627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 57",
            "city": "WEST LAFAYETTE",
            "state": "OH",
            "postal_code": "438450057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S 15TH ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "438121873",
            "telephone_number": "740-622-0799",
            "fax_number": "740-622-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERICES OF COSHOCTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "740-623-4009"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35080169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2006742",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.