NPIMap

Individual provider Active NPI

Paul D Mumma, D.O.

  • Family Medicine Physician
  • Crooksville, OH
National Provider Identifier
1619958121
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34004248M Issued in OH
Practice address
721 China St
Crooksville, OH 43731-1123
Phone
(740) 697-0173
Fax
(740) 982-5551
NPI assigned
Nov 10, 2005
Last updated
Jan 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34004248M OH Primary

Addresses

Primary practice location

721 China St
Crooksville, OH 43731-1123

Mailing address

PO Box 1821
Zanesville, OH 43702-1821
Phone (740) 455-3304

Other identifiers 1

IdentifierTypeStateIssuer
0645136MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000457 OH Practitioner - Family PracticePractitioner - Geriatric Medicine 1456247295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pai Participant 1 LLCGroup PAC ID 8123351954, 174 clinicians
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

1126 Adair Ave
Zanesville, OH 43701-2804
Phone (740) 452-2087

1136 Adair Ave
Zanesville, OH 43701-2804
Phone (740) 454-6823

163 Meadowpark Dr
Cambridge, OH 43725-8782
Phone (614) 255-6900

230 Cherry St
Chillicothe, OH 45601-2301
Phone (740) 773-6470

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

4212 Northpointe Dr
Zanesville, OH 43701-5970
Phone (740) 450-1100

856 S Riverside Dr NE
McConnelsville, OH 43756-9102
Phone (740) 962-5303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4248OHMDChiropractor
34004248MOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 1 LLC CurrentSince Jul 23, 2022 Accepting new patients
Central Ohio Hospitalists, Inc CurrentSince Apr 6, 2020 Accepting new patients
Geriatric Associates of Zanesville CurrentSince Feb 28, 1996 Accepting new patients
Highland Oaks Health Center, LLC Past Accepting new patients
Willow Haven Opco, LLC Past Accepting new patients
Cedar Hills Opco, LLC Past Accepting new patients
Marietta SNF Healthcare LLC Past Accepting new patients
Riverside Landing Nursing and Rehabilitation, Inc. Past Accepting new patients
New Lexington Oh Health & Rehab Opco LLC PastSince Dec 31, 2024 Accepting new patients
Beverly Health Care Co., LLC Past Accepting new patients
Medone Psychiatric Care LLC PastSince Sep 27, 2024 Accepting new patients
FHS Harmar, Inc. Past Accepting new patients
Altercare Zanesville, Inc. Past Accepting new patients
Crooksville Family Clinic Past Accepting new patients
New Lexington Healthcare and Rehabilitation Center LLC Past Accepting new patients
FHS Marietta, Inc. Past Accepting new patients

Locations

230 Cherry St
Chillicothe, OH 45601
Phone (740) 773-6470

3525 Olentangy River Rd
Ste 4330
Columbus, OH 43214
Phone (614) 255-6930

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

712 China St
Crooksville, OH 43731
Phone (740) 697-0173

920 S Main St
New Lexington, OH 43764
Phone (740) 342-5161

411 S Columbus St
#C
Somerset, OH 43783
Phone (740) 743-2924

1136 Adair Ave
Zanesville, OH 43701
Phone (740) 454-6823

1856 Adams Ln
Zanesville, OH 43701
Phone (216) 772-3192

3125 East Pike
Zanesville, OH 43701
Phone (740) 452-4351

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Majestic Care of New LexingtonNew Lexington, OH, CCN 365578 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Dec 31, 2024
Dec 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1619958121",
    "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": "721 CHINA ST",
            "city": "CROOKSVILLE",
            "state": "OH",
            "postal_code": "437311123",
            "telephone_number": "740-697-0173",
            "fax_number": "740-982-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUMMA",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34004248M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0645136",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crooksville, OH

Sources for this page

Verify at the official NPI Registry.