Organization Active NPI

First Capital Internal Medicine, Inc

  • Internal Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1801826607
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35047244B Issued in OH
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

Updated by the provider on Apr 4, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2199973MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.