Organization Active NPI

Human Health of Nevada PC

  • Family Medicine Physician
  • New Albany, OH
National Provider Identifier
1790459857
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HUMAN HEALTH OF NEVADA PC
Practice address
9750 Innovation Campus Way
New Albany, OH 43054
Phone
(415) 851-0195
NPI assigned
Aug 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Authorized official

Name
Carrie Kocen
Title
Credentialing
Phone
(415) 851-0195

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

9750 Innovation Campus Way
New Albany, OH 43054

Mailing address

2269 Chestnut St # 523
San Francisco, CA 94123-2600
Phone (415) 851-0195

National Provider Directory

National Provider Directory

Locations

2269 Chestnut St
San Francisco, CA 94123
Phone (415) 551-7331

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652313600000",
    "number": "1790459857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2269 CHESTNUT ST # 523",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232600",
            "telephone_number": "415-851-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 INNOVATION CAMPUS WAY",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "43054",
            "telephone_number": "415-851-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN HEALTH OF NEVADA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-03",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A",
        "authorized_official_last_name": "KOCEN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "415-851-0195"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.