Active NPI
Primecare of Southeastern Ohio, Inc.
- Family Medicine Physician
- Zanesville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRIMECARE OF SOUTHEASTERN OHIO, INC.
- Practice address
- 751 Forest Ave Ste 402
Zanesville, OH 43701-2878 - Phone
- (740) 454-4651
- Fax
- (740) 454-4653
- NPI assigned
- Dec 14, 2005
- Last updated
- Mar 25, 2022
- 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
- Mr. Dave Lucey
- Title
- Coo
- Phone
- (740) 454-4651
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 207R00000X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| Physical Therapist | 225100000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
751 Forest Ave Ste 402
Zanesville, OH 43701-2878
Mailing address
860 Bethesda Dr
Zanesville, OH 43701-1800
Phone (740) 454-4651
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA1586 | Other | MEDICARE RAILROAD | |
| 0989499 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0332850 | Primecare of Southeastern Ohio, Inc | Provider-performed microscopy | Feb 5, 2027 |
| 36D1069607 | Primecare of Southeastern Ohio, Inc | Certificate of waiver | Dec 7, 2026 |
| 36D2324552 | Primecare of Southeastern Ohio, Inc | Certificate of waiver | May 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
42 E 3rd St
Frazeysburg, OH 43822
Phone (740) 828-1020
167 S Main St
Roseville, OH 43777
Phone (740) 697-7373
1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905
1246 Ashland Ave
Ste 203
Zanesville, OH 43701
Phone (740) 454-6158
751 Forest Ave
Ste 401
Zanesville, OH 43701
Phone (740) 454-8502
860 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-1905
860 Bethesda Dr
Ste 2
Zanesville, OH 43701
Phone (740) 452-1905
860 Bethesda Dr
Ste 3
Zanesville, OH 43701
Phone (740) 452-3725
945 Bethesda Dr
Ste 130
Zanesville, OH 43701
Phone (614) 454-9779
950 Bethesda Dr
Ste 3
Zanesville, OH 43701
Phone (740) 454-0196
975 Bethesda Dr
Zanesville, OH 43701
Phone (740) 452-4539
Practitioners & affiliated clinicians
Practitioners 20
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.
-
- Mental Health Counselor
- Zanesville, OH
- NPI 1932274750
-
- Pediatrics Physician
- Zanesville, OH
- NPI 1265503551
-
- Obstetrics & Gynecology Physician
- Zanesville, OH
- NPI 1083059273
Single Specialty
-
- Obstetrics & Gynecology Physician
- Newark, OH
- NPI 1891808861
-
- Pediatric Nurse Practitioner
- Zanesville, OH
- NPI 1609931856
-
- Family Nurse Practitioner
- Middleburg Heights, OH
- NPI 1386153377
-
- Psychiatry Physician
- Zanesville, OH
- NPI 1750570669
-
- Family Nurse Practitioner
- Zanesville, OH
- NPI 1295273910
-
- Psychologist
- Zanesville, OH
- NPI 1396810958
-
- Pediatrics Physician
- Zanesville, OH
- NPI 1831175215
-
- Pediatrics Physician
- Zanesville, OH
- NPI 1366428229
-
- Physical Therapist
- Zanesville, OH
- NPI 1811900962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1648166400000",
"number": "1417932294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 BETHESDA DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011800",
"telephone_number": "740-454-4651",
"fax_number": "740-454-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 FOREST AVE STE 402",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437012878",
"telephone_number": "740-454-4651",
"fax_number": "740-454-4653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMECARE OF SOUTHEASTERN OHIO, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-14",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A",
"authorized_official_last_name": "LUCEY",
"authorized_official_first_name": "DAVE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "740-454-4651",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CA1586",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0989499",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
- Preferred Associates of Pathology, Inc.
- Michele Renee Presley, LPN
- William Presley
- Randell S Price, MA, LPC
- Primary Care Practice Inc
- Michael Gene Prince, PEER SUPPORT
- Priority Medical Family Practice, LLC
- James Robert Pritchard II, BPHARM
- Dana Pritchett, LCDCII
- Private Practice Healthcare Solutions
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.