Active NPI
David P. Althaus, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Bidwell, OH
National Provider Identifier
1497708275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 35-06-3575
- Practice address
- 2619 State Route 850
Bidwell, OH 45614-9288 - Phone
- (740) 446-5148
- Fax
- (740) 446-5150
- NPI assigned
- May 19, 2006
- Last updated
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 35-06-3575 | OH | Primary |
Addresses
Primary practice location
2619 State Route 850
Bidwell, OH 45614-9288
Mailing address
90 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5804
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001714078 | Other | MOUNTAIN STATE BCBS | |
| 000000007209 | Other | ANTHEM BCBS | |
| 000000190710 | Other | OH | UNISON MEDICAID |
| 0102680000 | Medicaid | WV | |
| 220010796 | Other | OH | RR MEDICARE |
| 0885001 | Other | OH | MOLINA MEDICAID |
| 220010795 | Other | WV | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407369600000",
"number": "1497708275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 JACKSON PIKE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311560",
"telephone_number": "740-446-5804",
"fax_number": "740-446-5150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2619 STATE ROUTE 850",
"city": "BIDWELL",
"state": "OH",
"postal_code": "456149288",
"telephone_number": "740-446-5148",
"fax_number": "740-446-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTHAUS",
"first_name": "DAVID",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2014-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "OH",
"license": "35-06-3575",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOUNTAIN STATE BCBS",
"identifier": "001714078",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000007209",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON MEDICAID",
"identifier": "000000190710",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0102680000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "220010796",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA MEDICAID",
"identifier": "0885001",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "220010795",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bidwell, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.