Organization Active NPI

Zanesville Medical Center Inc

  • General Practice Physician
  • Zanesville, OH
National Provider Identifier
1457619991
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ZANESVILLE MEDICAL CENTER INC
Practice address
1400 Brandywine Blvd
Zanesville, OH 43701-1083
Phone
(740) 450-9000
Fax
(740) 450-2494
NPI assigned
May 2, 2012
Last updated
Feb 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Dr. Richard A ShawNPI 1124116447
Title
Owner
Phone
(740) 450-9000

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1400 Brandywine Blvd
Zanesville, OH 43701-1083

Mailing address

PO Box 8132
Zanesville, OH 43702-8132
Phone (740) 450-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120821000583 OH Part B Supplier - Clinic/Group Practice 3779730056 Receives reassigned benefits from 1 practitioner
Practice locations: Zanesville, OH
O20140408001292 OH DME Supplier - Physician - Radiation OncologyDME Supplier - Physician - Chiropractic 3779730056 Practice locations: Zanesville, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1457619991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8132",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437028132",
            "telephone_number": "740-450-9000",
            "fax_number": "740-450-2494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRANDYWINE BLVD",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011083",
            "telephone_number": "740-450-9000",
            "fax_number": "740-450-2494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANESVILLE MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-450-9000",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.