Organization Active NPI

Clyde C Metzger, MD

  • Cardiovascular Disease Physician
  • Steubenville, OH
National Provider Identifier
1891986535
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35031444M Issued in OH
Legal business name
CLYDE C METZGER, MD
Practice address
4100 Johnson Rd
Suite 206
Steubenville, OH 43952-2356
Phone
(740) 266-6774
Fax
(740) 266-6125
NPI assigned
Aug 7, 2007
Last updated
Mar 31, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Authorized official

Name
Clyde C Metzger, M.D.
Title
Owner
Phone
(740) 266-6774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35031444M OH Primary

Addresses

Primary practice location

4100 Johnson Rd
Suite 206
Steubenville, OH 43952-2356

Mailing address

PO Box 994
Steubenville, OH 43952-5994
Phone (740) 282-2576

Other identifiers 2

IdentifierTypeStateIssuer
0118205MedicaidOH
DB0445OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

4100 Johnson Rd
Ste 206
Steubenville, OH 43952
Phone (740) 266-6774

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1891986535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 994",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439525994",
            "telephone_number": "740-282-2576",
            "fax_number": "740-282-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 JOHNSON RD",
            "address_2": "SUITE 206",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522356",
            "telephone_number": "740-266-6774",
            "fax_number": "740-266-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLYDE C METZGER, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "METZGER",
        "authorized_official_first_name": "CLYDE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-266-6774",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35031444M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118205",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB0445",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; 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.