Organization Active NPI

Coshocton Medical Specialists Inc

  • Internal Medicine Physician
  • Coshocton, OH
National Provider Identifier
1629149976
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COSHOCTON MEDICAL SPECIALISTS INC
Practice address
406 S 15TH St
Coshocton, OH 43812
Phone
(740) 622-8461
Fax
(740) 622-5831
NPI assigned
Nov 10, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Gary James Carver, MDNPI 1982781563
Title
President
Phone
(740) 622-8461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

406 S 15TH St
Coshocton, OH 43812

Mailing address

406 S 15TH St
Coshocton, OH 43812
Phone (740) 622-8461

Other identifiers 1

IdentifierTypeStateIssuer
0245078MedicaidOH

National Provider Directory

National Provider Directory

Locations

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629149976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 S 15TH ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "740-622-8461",
            "fax_number": "740-622-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 S 15TH ST",
            "city": "COSHOCTON",
            "state": "OH",
            "postal_code": "43812",
            "telephone_number": "740-622-8461",
            "fax_number": "740-622-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSHOCTON MEDICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-622-8461",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0245078",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coshocton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.