NPIMap

Organization Active NPI

Select Specialty Hospital - Zanesville Inc

Doing business as Select Specialty Hospital - Southeast Ohio

  • Long Term Care Hospital
  • Newark, OH
National Provider Identifier
1861492217
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
1450 Issued in OH
Legal business name
SELECT SPECIALTY HOSPITAL - ZANESVILLE INC
Doing business as
Select Specialty Hospital - Southeast Ohio
Practice address
2000 Tamarack Rd
2ND Floor
Newark, OH 43055-1183
Phone
(740) 588-7854
Fax
(740) 588-7856
NPI assigned
Jul 28, 2005
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Mr. John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 1450 OH Primary

Addresses

Primary practice location

2000 Tamarack Rd
2ND Floor
Newark, OH 43055-1183

Mailing address

4714 Gettysburg Rd
Legal Dept.
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other identifiers 4

IdentifierTypeStateIssuer
030508538003OtherOHMEDICAL MUTUAL OF OHIO
000000343190OtherOHANTHEM OH
030034100OtherOHBLACK LUNG
2483585MedicaidOH

Other names 1

  • Select Specialty Hospital - Southeast Ohio Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061113000541 OH Part A Provider - Hospital 0042121808 Practice locations: Newark, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861492217. Details of each certification follow.

Hospital certification: CCN 362031

Legal name
SELECT SPECIALTY HOSPITAL - ZANESVILLE INC
Doing business as
SELECT SPECIALTY HOSPITAL SOUTHEAST OHIO
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Apr 1, 2004
Last certification
Feb 26, 2015
Beds
35
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Enrollment address
2000 Tamarack Rd 2
Newark, OH 43055-1183
Main/Primary Hospital Location
Hospital subgroups
General, Long-term

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital Southeast OhioCCN 362031 · All quality measures
Ownership
For profit
Certified
Apr 1, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Beds
35

National Provider Directory

National Provider Directory
Tax ID family
Select Specialty Hospital - Zanesville Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Dec 3, 2010 100%
Operational/Managerial Control Dec 3, 2010 100%
Thomas Mullin Individual Corporate Officer Sep 4, 2025
John Saich Individual Corporate Officer Sep 4, 2025
Emily Blevins Individual Corporate OfficerCeo Nov 28, 2022
W-2 Managing EmployeeCeo Nov 28, 2022
Operational/Managerial ControlCeo Nov 28, 2022
Robert Breighner Individual W-2 Managing EmployeeCompliance Officer Sep 4, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Dec 3, 2010 100%
Michael Malatesta Individual Corporate Officer Sep 4, 2025
Robert Kido Individual Corporate Officer Sep 4, 2025
John Duggan Individual Corporate Officer Dec 3, 2010
Corporate Director Sep 4, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1861492217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT.",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100",
            "fax_number": "717-975-9981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TAMARACK RD",
            "address_2": "2ND FLOOR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551183",
            "telephone_number": "740-588-7854",
            "fax_number": "740-588-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - ZANESVILLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "OH",
            "license": "1450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "030508538003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM OH",
            "identifier": "000000343190",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLACK LUNG",
            "identifier": "030034100",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2483585",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Specialty Hospital - Southeast Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.