Fayette County

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

34004278 Issued in OH

Legal business name

FAYETTE COUNTY

Doing business as

Fayette CO Health District

Practice address

317 S Fayette St
Washington CH, OH 43160-2449

Phone

(740) 335-5910

Fax

(740) 333-3528

NPI assigned

Jan 8, 2007

Last updated

May 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Vanzant, DVM

Title

Health Commissioner

Phone

(740) 335-5910

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fayette CO Health District Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Fayette County3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Fayette County Board of MRDD

  • Developmentally Disabled Services Day Training Agency
  • Washington Court House, OH
  • NPI 1013131614
  NPD tax ID
• Fayette County Commission on Aging

  • Home Health Agency
  • Washington Court House, OH
  • NPI 1972697621
  NPD tax ID

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Adena Fayette Medical Center

  • Critical Access Hospital
  • Washington Court House, OH
  • NPI 1508978677

  Member Of

  NPD member
• Fayette County Memorial Hospital

  dba Fayette County Memorial Hospital Medical and Surgical Associates

  • Family Medicine Physician
  • Washington Court House, OH
  • NPI 1043380579

  Member Of

  NPD member

Practitioners 1

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.

• Darci Moore, CNP

  • Community Health Nurse Practitioner
  • Washington Court House, OH
  • NPI 1639602659
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1477602811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S FAYETTE ST",
            "city": "WASHINGTON CH",
            "state": "OH",
            "postal_code": "431602449",
            "telephone_number": "740-335-5910",
            "fax_number": "740-333-3528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S FAYETTE ST",
            "city": "WASHINGTON CH",
            "state": "OH",
            "postal_code": "431602449",
            "telephone_number": "740-335-5910",
            "fax_number": "740-333-3528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYETTE COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "VANZANT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "HEALTH COMMISSIONER",
        "authorized_official_telephone_number": "740-335-5910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DVM"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OH",
            "license": "34004278",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0233036",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fayette CO Health District",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Sue Campbell II, CNP
• Allen Dale Griffiths, OD
• Christine Renee Halliday, DDS
• Penelope Ann Halliday, MD
• Timothy Houseman
• William Glenn Hughes, DDS, MS

• Public Health & General Preventive Medicine Physician in Washington CH, OH
• Providers in Washington CH, OH by specialty
• Public Health & General Preventive Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.