NPIMap

Organization Active NPI

Ohio Advanced Healthcare, LLC

  • Internal Medicine Physician
  • Zanesville, OH
National Provider Identifier
1699107763
Registry record updated Jul 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34007216 Issued in OH
Legal business name
OHIO ADVANCED HEALTHCARE, LLC
Practice address
158 Chelsea CV
Zanesville, OH 43701-0812
Phone
(740) 923-5050
NPI assigned
Jul 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2013

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

Authorized official

Name
David Richard Hartsock, BA
Title
Business Director
Phone
(740) 586-3272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34007216 OH Primary

Addresses

Primary practice location

158 Chelsea CV
Zanesville, OH 43701-0812

Mailing address

158 Chelsea CV
Zanesville, OH 43701-0812
Phone (740) 923-5050

Other identifiers 1

IdentifierTypeStateIssuer
2158687MedicaidOH

National Provider Directory

National Provider Directory

Locations

1100 Brandywine Blvd
Ste E
Zanesville, OH 43701
Phone (740) 923-5050

NPI Registry JSON

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1699107763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 CHELSEA CV",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010812",
            "telephone_number": "740-923-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 CHELSEA CV",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437010812",
            "telephone_number": "740-923-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO ADVANCED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "HARTSOCK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "BUSINESS DIRECTOR",
        "authorized_official_telephone_number": "740-586-3272",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34007216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2158687",
            "state": "OH"
        }
    ],
    "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 Jul 31, 2013; 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.