Organization Active NPI

Harmar Village Medical Inc

  • General Practice Physician
  • Marietta, OH
National Provider Identifier
1366611071
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HARMAR VILLAGE MEDICAL INC
Practice address
119 Maple Street
Marietta, OH 45750
Phone
(740) 376-1520
Fax
(740) 376-1525
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Pedrito Apoong Galupo, MD
Title
President
Phone
(740) 376-1520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

119 Maple Street
Marietta, OH 45750

Mailing address

119 Maple Street
Marietta, OH 45750
Phone (740) 376-1520

Other identifiers 1

IdentifierTypeStateIssuer
06165735MedicaidOH

National Provider Directory

National Provider Directory

Locations

119 Maple St
Marietta, OH 45750
Phone (740) 376-1520

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1366611071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 MAPLE STREET",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "telephone_number": "740-376-1520",
            "fax_number": "740-376-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MAPLE STREET",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "telephone_number": "740-376-1520",
            "fax_number": "740-376-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMAR VILLAGE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "GALUPO",
        "authorized_official_first_name": "PEDRITO",
        "authorized_official_middle_name": "APOONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-376-1520",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06165735",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.