Individual provider Active NPI

Daniel C Resanovich, PA

  • Physician Assistant
  • Chillicothe, OH
National Provider Identifier
1881651495
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.000667RX Issued in OH
Practice address
272 Hospital Rd
Chillicothe, OH 45601-9031
Phone
(740) 779-7500
Fax
(740) 779-7875
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.000667RX OH Primary

Addresses

Primary practice location

272 Hospital Rd
Chillicothe, OH 45601-9031

Mailing address

4750 Hempstead Station Dr
Kettering, OH 45429-5164
Phone (800) 875-0136

Other practice location 1

799 Farson St
Belpre, OH 45714-1082
Phone (740) 401-1150

Other practice location 2

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 376-1939

Other practice location 3

206 Columbus Rd
Athens, OH 45701-1316
Phone (740) 885-4064

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000130 OH Practitioner - Physician Assistant 6204938483 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Jun 10, 2024 Accepting new patients
Ohio Valley Physicians Inc CurrentSince Nov 1, 2019 Accepting new patients
North Valley Emergency Specialists Past Accepting new patients
Team Physicians of Arizona PC Physician Assistant Past Accepting new patients
Emergency Professionals of Ohio, Inc. Physician Assistant Past Accepting new patients

Locations

55 Hospital Dr
Ste 1
Athens, OH 45701

55 Hospital Dr
Athens, OH 45701
Phone (740) 592-9349

936 State Route 160
Gallipolis, OH 45631
Phone (740) 446-4600

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1881651495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 HEMPSTEAD STATION DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295164",
            "telephone_number": "800-875-0136",
            "fax_number": "937-619-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-7500",
            "fax_number": "740-779-7875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Farson St",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141082",
            "country_code": "US",
            "telephone_number": "740-401-1150",
            "fax_number": "740-401-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Matthew St",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501635",
            "country_code": "US",
            "telephone_number": "740-376-1939",
            "fax_number": "740-374-1693",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 Columbus Rd",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011316",
            "country_code": "US",
            "telephone_number": "740-885-4064",
            "fax_number": "740-885-4027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RESANOVICH",
        "first_name": "DANIEL",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.000667RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "206 Columbus Rd",
            "city": "Athens",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457011316",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "799 Farson St",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.