Active NPI
Coshocton Medical Specialists Inc
- Internal Medicine Physician
- Coshocton, OH
National Provider Identifier
1629149976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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, 2020
- 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
- Gary James Carver, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0245078 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Coshocton, OH
- NPI 1982781563
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
- Coshocton County Recovery LLC
- Coshocton Family Health Center, Inc.
- Coshocton Implant and Family Dentistry
- Coshocton Laboratory International LLC
- Coshocton Meadows Skilled Nursing and Rehabilitation LLC (Roscoe Gardens Skilled Nursing and Rehab)
- Coshocton NH LLC (Coshocton Springs Health and Rehabilitation Center)
- Coshocton Occupational Medicine
- Coshocton Opco, LLC (Coshocton Healthcare and Rehabilitation Center)
- Coshocton Radiology, Inc.
- Coshocton Surgical Clinic
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.