Active NPI
Medical Home Primary Care Center
- Family Medicine Physician
- Zanesville, OH
National Provider Identifier
1578870911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35075041D
- Legal business name
- MEDICAL HOME PRIMARY CARE CENTER
- Practice address
- 3620 Court Dr
Zanesville, OH 43701-6456 - Phone
- (740) 454-1248
- Fax
- (740) 454-8183
- NPI assigned
- Sep 7, 2010
- Last updated
- Sep 7, 2010
- 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
- Cheryl L Crowder
- Title
- Administrative Director
- Phone
- (740) 455-3304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35075041D | OH | Primary |
Addresses
Primary practice location
3620 Court Dr
Zanesville, OH 43701-6456
Mailing address
PO Box 1821
Zanesville, OH 43702-1821
Phone (740) 455-3304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
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 |
|---|---|---|---|
| 36D2013908 | Medical Home Primary Care Center | Provider-performed microscopy | Sep 26, 2026 |
National Provider Directory
National Provider DirectoryLocations
3620 Court Dr
Zanesville, OH 43701
Phone (740) 454-1248
3620 Court Dr
Ste K
Zanesville, OH 43701
Phone (740) 454-1248
Practitioners & affiliated clinicians
Practitioners 75
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.
-
- Nurse Practitioner
- Zanesville, OH
- NPI 1407042468
-
- Nurse Practitioner
- Zanesville, OH
- NPI 1023520327
-
- Family Medicine Physician
- Zanesville, OH
- NPI 1053392555
-
- Women's Health Nurse Practitioner
- Cambridge, OH
- NPI 1124098355
-
- Family Nurse Practitioner
- Zanesville, OH
- NPI 1144239765
-
- Family Medicine Physician
- New Lexington, OH
- NPI 1972687432
-
- Women's Health Nurse Practitioner
- Cambridge, OH
- NPI 1033595673
-
- Family Nurse Practitioner
- Cambridge, OH
- NPI 1487658928
-
- Nephrology Physician
- Zanesville, OH
- NPI 1669483566
-
- Internal Medicine Physician
- Zanesville, OH
- NPI 1164620290
-
- Family Nurse Practitioner
- Zanesville, OH
- NPI 1942721741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283817600000",
"number": "1578870911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1821",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437021821",
"telephone_number": "740-455-3304",
"fax_number": "740-455-3686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3620 COURT DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437016456",
"telephone_number": "740-454-1248",
"fax_number": "740-454-8183"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL HOME PRIMARY CARE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-07",
"last_updated": "2010-09-07",
"status": "A",
"authorized_official_last_name": "CROWDER",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
"authorized_official_telephone_number": "740-455-3304"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35075041D",
"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 Sep 7, 2010; 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.