NPIMap

Individual provider Active NPI

Trevor Short, M.D.

  • Internal Medicine Physician
  • Zanesville, OH
National Provider Identifier
1891115648
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.130037 Issued in OH
Practice address
1210 Ashland Ave
Zanesville, OH 43701-2806
Phone
(740) 454-8551
NPI assigned
Apr 20, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.130037 OH Primary

Addresses

Primary practice location

1210 Ashland Ave
Zanesville, OH 43701-2806

Mailing address

1210 Ashland Ave
Zanesville, OH 43701-2806

Other practice location 1

410 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 293-3989

Other identifiers 1

IdentifierTypeStateIssuer
0219724MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170605002729 OH Practitioner - Internal Medicine 9032430921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Wright State University Boonshoft School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Primary Care Physicians, LLCGroup PAC ID 5294992293, 45 clinicians

Practice addresses (Care Compare)

1210 Ashland Ave
Zanesville, OH 43701-2806
Phone (740) 454-0370

Hospital & facility affiliations

  • Genesis Home Care Home health agency, Zanesville, OH, CCN 367114
  • Interim Healthcare of Cambridge Home health agency, Zanesville, OH, CCN 367324
  • Genesis Hospital Hospital, Zanesville, OH, CCN 360039
  • Coshocton Regional Medical Center Hospital, Coshocton, OH, CCN 360109

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Primary Care Physicians LLC Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Genesis Medical Group LLC Internal Medicine Past Accepting new patients
Genesis Medical Group, LLC Past Accepting new patients

Locations

1210 Ashland Ave
Zanesville, OH 43701
Phone (740) 452-1905

Organizations & group practices 3

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1891115648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 ASHLAND AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ASHLAND AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012806",
            "telephone_number": "740-454-8551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-293-3989",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORT",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-20",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.130037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0219724",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.