Active NPI
Michael Jay Somple, M.D.
- Neurology Physician
- Zanesville, OH
National Provider Identifier
1366434912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35046011S
- Practice address
- 751 Forest Ave
Suite 400
Zanesville, OH 43701-2868 - Phone
- (740) 452-4053
- Fax
- (740) 452-4580
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35046011S | OH | Primary |
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | 35046011 | OH |
Addresses
Primary practice location
751 Forest Ave
Suite 400
Zanesville, OH 43701-2868
Mailing address
751 Forest Ave
Suite 400
Zanesville, OH 43701-2868
Phone (740) 452-4053
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000122287 | Other | OH | ANTHEM PROVIDER NUMBER |
| 0469738 | Medicaid | OH | |
| 311597742 | Other | OH | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35046011S | OH | MD | Neurology Physician |
| 35046011 | OH | MD | Diagnostic Neuroimaging (Radiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1366434912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "751 FOREST AVE",
"address_2": "SUITE 400",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012868",
"telephone_number": "740-452-4053",
"fax_number": "740-452-4580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 FOREST AVE",
"address_2": "SUITE 400",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012868",
"telephone_number": "740-452-4053",
"fax_number": "740-452-4580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOMPLE",
"first_name": "MICHAEL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35046011S",
"primary": true
},
{
"code": "2085D0003X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Neuroimaging",
"state": "OH",
"license": "35046011",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000122287",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0469738",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "311597742",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.