NPIMap

Organization Active NPI

Executive Coach of Chillicothe, LLC.

  • Non-emergency Medical Transport (VAN)
  • Portsmouth, OH
National Provider Identifier
1417538133
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EXECUTIVE COACH OF CHILLICOTHE, LLC.
Practice address
2221 8TH St
Portsmouth, OH 45662-4737
Phone
(740) 961-5323
NPI assigned
Apr 15, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Authorized official

Name
Scott W TiemanNPI 1609032796
Title
Owner
Phone
(740) 961-5323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2221 8TH St
Portsmouth, OH 45662-4737

Mailing address

PO Box 1083
Portsmouth, OH 45662-1083
Phone (740) 961-5323

National Provider Directory

National Provider Directory

Locations

2221 8th St
Portsmouth, OH 45662
Phone (740) 353-2455

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1618444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618444800000",
    "number": "1417538133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456621083",
            "telephone_number": "740-961-5323",
            "fax_number": "740-876-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 8TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624737",
            "telephone_number": "740-961-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE COACH OF CHILLICOTHE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "TIEMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-961-5323"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.