NPIMap

Organization Active NPI

Adena Health System

  • Gastroenterology Physician
  • Chillicothe, OH
National Provider Identifier
1861672610
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35084164 Issued in OH
Legal business name
ADENA HEALTH SYSTEM
Practice address
4439 State Route 159
Suite 110
Chillicothe, OH 45601-8207
Phone
(740) 779-8530
Fax
(740) 779-8539
NPI assigned
Nov 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Robert M Rosenberger
Title
Cfo
Phone
(740) 779-7582

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 35084164 OH Primary

Addresses

Primary practice location

4439 State Route 159
Suite 110
Chillicothe, OH 45601-8207

Mailing address

272 Hospital Rd
Suite 3
Chillicothe, OH 45601-9031
Phone (740) 779-4460

Other identifiers 1

IdentifierTypeStateIssuer
1475685MedicaidOH

Other names 1

  • Southern Ohio Gastroenterology Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Parks OBGYN Associates42 organizations share this tax ID, including this one

Other organizations with this tax ID 41

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

View all 41

Locations

4439 State Route 159
Ste 110
Chillicothe, OH 45601
Phone (740) 779-4353

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1861672610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "address_2": "SUITE 3",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4460",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4439 STATE ROUTE 159",
            "address_2": "SUITE 110",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456018207",
            "telephone_number": "740-779-8530",
            "fax_number": "740-779-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADENA HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-09",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "ROSENBERGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "740-779-7582"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35084164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Ohio Gastroenterology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 4, 2014; 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.