Active NPI
Medical Services of Coshocton, Inc
- Pediatrics Physician
- Coshocton, OH
National Provider Identifier
1336166925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- MEDICAL SERVICES OF COSHOCTON, INC
- Practice address
- 406 S 15TH St
Coshocton, OH 43812-2285 - Phone
- (740) 295-3331
- NPI assigned
- Jul 17, 2006
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
406 S 15TH St
Coshocton, OH 43812-2285
Mailing address
PO Box 57
West Lafayette, OH 43845-0057
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2492011 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Coshocton Occupational Medicine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Occupational Medicine Clinic/Center
- Coshocton, OH
- NPI 1073736849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336166925",
"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": "406 S 15TH ST",
"city": "COSHOCTON",
"state": "OH",
"postal_code": "438122285",
"telephone_number": "740-295-3331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL SERVICES OF COSHOCTON, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-17",
"last_updated": "2020-08-22",
"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": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2492011",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.