NPIMap

Organization Active NPI

Nephrology Consultants of Southeastern Ohio, Inc.

  • Nephrology Physician
  • Zanesville, OH
National Provider Identifier
1730284563
Registry record updated Dec 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
NEPHROLOGY CONSULTANTS OF SOUTHEASTERN OHIO, INC.
Practice address
3089 Maple Ave
Zanesville, OH 43701-1644
Phone
(740) 450-3400
Fax
(740) 450-3420
NPI assigned
Sep 14, 2006
Last updated
Dec 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2024

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

Authorized official

Name
Melissa Lister
Title
Practice Manager
Phone
(740) 450-3400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

3089 Maple Ave
Zanesville, OH 43701-1644

Mailing address

3089 Maple Ave
Zanesville, OH 43701-1644
Phone (740) 450-3400

Other practice location 1

6901 Glenn Hwy
Cambridge, OH 43725-8685
Phone (740) 450-3400

Other practice location 2

1523 Walnut St
Coshocton, OH 43812-2289
Phone (740) 450-3400

Other identifiers 1

IdentifierTypeStateIssuer
2749799MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060925000416 OH Part B Supplier - Clinic/Group Practice 7012912157 Receives reassigned benefits from 8 practitioners
Practice locations: Cambridge, OH; Coshocton, OH; Zanesville, OH

National Provider Directory

National Provider Directory

Locations

3237 Maple Ave
Zanesville, OH 43701
Phone (740) 450-3400

Practitioners & affiliated clinicians

Practitioners 11

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": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735171200000",
    "number": "1730284563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3089 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011644",
            "telephone_number": "740-450-3400",
            "fax_number": "740-450-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3089 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011644",
            "telephone_number": "740-450-3400",
            "fax_number": "740-450-3420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6901 Glenn Hwy",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "437258685",
            "country_code": "US",
            "telephone_number": "740-450-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Coshocton",
            "state": "OH",
            "postal_code": "438122289",
            "country_code": "US",
            "telephone_number": "740-450-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEPHROLOGY CONSULTANTS OF SOUTHEASTERN OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A",
        "authorized_official_last_name": "LISTER",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "740-450-3400"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2749799",
            "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 Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.