Morgan County

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0860081 Issued in OH

Legal business name

MORGAN COUNTY

Practice address

4275 N Sr376 NW
McConnelsville, OH 43756

Phone

(740) 962-4572

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard D Clark, M.D.NPI 1053316364

Title

Health Commissioner

Phone

(740) 962-4572

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Don Clark, MD

  • Family Medicine Physician
  • Marietta, OH
  • NPI 1053316364
  NPD (past) Authorized official

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1831250307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 N SR376 NW",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "43756",
            "telephone_number": "740-962-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 N SR376 NW",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "43756",
            "telephone_number": "740-962-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORGAN COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "HEALTH  COMMISSIONER",
        "authorized_official_telephone_number": "740-962-4572",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0860081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0119857",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Josie Misuraca
• Alivia L Mock, AAS, QMHS
• Tiffany Sue Moore
• Morgan Behavioral Health Choices
• Morgan County
• Morgan County Family Practice
• Kimberly L Mowry, LPN, QMHS
• Muskingum Valley Health Centers
• Muskingum Valley Health Centers
• Northland Hearing Center, Inc.

• Clinical Medical Laboratory in McConnelsville, OH
• Providers in McConnelsville, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; 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.