NPIMap

Organization Active NPI

East Ohio Regional Hospital

  • Pediatrics Physician
  • Saint Clairsville, OH
National Provider Identifier
1548439706
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
1114 Issued in OH
Legal business name
EAST OHIO REGIONAL HOSPITAL
Practice address
135 E Main St
Saint Clairsville, OH 43950-1586
Phone
(740) 695-9470
Fax
(740) 695-3674
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Sharon Marie Ebbert
Title
Provider Applications
Phone
(304) 234-8663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 1114 OH Primary

Addresses

Primary practice location

135 E Main St
Saint Clairsville, OH 43950-1586

Mailing address

PO Box 6183
Wheeling, WV 26003-0716
Phone (304) 242-3049

Other names 1

  • pediatric group Other name

National Provider Directory

National Provider Directory
Tax ID family
East Ohio Regional Hosp7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1548439706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6183",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030716",
            "telephone_number": "304-242-3049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501586",
            "telephone_number": "740-695-9470",
            "fax_number": "740-695-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST OHIO REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "EBBERT",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PROVIDER APPLICATIONS",
        "authorized_official_telephone_number": "304-234-8663"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "1114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pediatric group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saint Clairsville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.