Pathways of Licking County

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

PATHWAYS OF LICKING COUNTY

Practice address

1627 Bryn Mawr Dr
Newark, OH 43055-1505

Phone

(740) 345-6166

Fax

(740) 349-9894

NPI assigned

Apr 3, 2006

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Richard Riley

Title

Executive Director

Phone

(740) 345-6166

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1710949292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 BRYN MAWR DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551505",
            "telephone_number": "740-345-6166",
            "fax_number": "740-349-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 BRYN MAWR DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551505",
            "telephone_number": "740-345-6166",
            "fax_number": "740-349-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHWAYS OF LICKING COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-345-6166",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minesh A Patel, DDS
• Priyanshi Patel, MD
• Shantilal Patel, MD
• Kevin Patellos, PHARMD
• Suba Pathmanathan, MD
• Walter Patrick
• Cassandra Patterson
• Stacey Patterson Sr.
• Sherry Peck
• Stella Mae Pegan

• Public Health or Welfare Agency in Newark, OH
• Providers in Newark, OH by specialty
• Public Health or Welfare Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.