Active NPI
First Capital Internal Medicine, Inc
- Internal Medicine Physician
- Chillicothe, OH
National Provider Identifier
1801826607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35047244B
- Legal business name
- FIRST CAPITAL INTERNAL MEDICINE, INC
- Practice address
- 4437 St. RT. 159
Suite 115
Chillicothe, OH 45601 - Phone
- (740) 775-2652
- Fax
- (740) 775-2699
- NPI assigned
- Jul 4, 2006
- 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
- Dr. Jack C Berno Jr., M.D.
- Title
- Chairman
- Phone
- (740) 775-2652
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35047244B | OH | Primary |
Addresses
Primary practice location
4437 St. RT. 159
Suite 115
Chillicothe, OH 45601
Mailing address
4437 St. RT. 159
Suite 115
Chillicothe, OH 45601
Phone (740) 775-2652
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2199973 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1207267200000",
"number": "1801826607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4437 ST. RT. 159",
"address_2": "SUITE 115",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "45601",
"telephone_number": "740-775-2652",
"fax_number": "740-775-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4437 ST. RT. 159",
"address_2": "SUITE 115",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "45601",
"telephone_number": "740-775-2652",
"fax_number": "740-775-2699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRST CAPITAL INTERNAL MEDICINE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2008-04-04",
"status": "A",
"authorized_official_last_name": "BERNO",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHAIRMAN",
"authorized_official_telephone_number": "740-775-2652",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": "35047244B",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2199973",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chillicothe, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.