Active NPI
Hope of Jabez
- Medical Specialty Clinic/Center
- Grove City, OH
National Provider Identifier
1902354095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 34008410
- Legal business name
- HOPE OF JABEZ
- Practice address
- 4068 Gantz Rd
Grove City, OH 43123-4816 - Phone
- (614) 957-5268
- Fax
- (614) 957-5303
- NPI assigned
- Sep 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kim R Routh, D.O.
- Title
- Owner
- Phone
- (614) 957-5268
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | 34008410 | OH | Primary |
Addresses
Primary practice location
4068 Gantz Rd
Grove City, OH 43123-4816
Mailing address
4068 Gantz Rd
Grove City, OH 43123-4816
Phone (614) 957-5268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4153721 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
4068 Gantz Rd
Grove City, OH 43123
Phone (614) 321-7196
3995 Broadway
Ste 150
Grove City, OH 43123
Phone (614) 883-8100
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Grove City, OH
- NPI 1205980075
-
- Massage Therapist
- Grove City, OH
- NPI 1427948785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488067200000",
"number": "1902354095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4068 GANTZ RD",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431234816",
"telephone_number": "614-957-5268",
"fax_number": "614-957-5303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4068 GANTZ RD",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431234816",
"telephone_number": "614-957-5268",
"fax_number": "614-957-5303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE OF JABEZ",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-17",
"last_updated": "2017-02-26",
"status": "A",
"authorized_official_last_name": "ROUTH",
"authorized_official_first_name": "KIM",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "614-957-5268",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "OH",
"license": "34008410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4153721",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.