Pickaway Health Services

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PICKAWAY HEALTH SERVICES

Practice address

9085 Southern St
Berger Medical Center at S. R. 104, Suite D
Orient, OH 43146

Phone

(614) 277-4654

NPI assigned

Sep 13, 2007

Last updated

Sep 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Wendy C Elliott

Title

Executive Director

Phone

(740) 420-8078

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Randall A Colucci, DO

  • Family Medicine Physician
  • Athens, OH
  • NPI 1184618027
  NPD (past)
• Cathy Jo Fanning, DO

  • Family Medicine Physician
  • Rural Hall, NC
  • NPI 1306830146
  NPD (past)

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

{
    "created_epoch": "1189641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189641600000",
    "number": "1932394863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 SOUTHERN ST",
            "address_2": "BERGER MEDICAL CENTER AT S. R. 104, SUITE D",
            "city": "ORIENT",
            "state": "OH",
            "postal_code": "43146",
            "telephone_number": "614-277-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 SOUTHERN ST",
            "address_2": "BERGER MEDICAL CENTER AT S. R. 104, SUITE D",
            "city": "ORIENT",
            "state": "OH",
            "postal_code": "43146",
            "telephone_number": "614-277-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKAWAY HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-13",
        "last_updated": "2007-09-13",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "740-420-8078",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Mullins
• Samantha Naeder
• Sylvia Novo
• Pickaway Health Services
• Pickaway Health Services
• Angel Pope
• Premier Care of Ohio, LLC (Community Medical Services - Orient Doc)
• Patricia Ann Prentice
• Hadlea Nicole Rickenbacker
• Jessica K. Rife, LISW

• Health Service Clinic/Center in Orient, OH
• Providers in Orient, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; 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.