Active NPI
Robert Poirier, M.D.
- Family Medicine Physician
- Frazeysburg, OH
National Provider Identifier
1942285796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35077980
- Practice address
- 42 E 3Rd St
Frazeysburg, OH 43822-9651 - Phone
- (740) 828-1020
- Fax
- (740) 828-9089
- NPI assigned
- Dec 14, 2005
- Last updated
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35077980 | OH | Primary |
Addresses
Primary practice location
42 E 3Rd St
Frazeysburg, OH 43822-9651
Mailing address
860 Bethesda Dr
Zanesville, OH 43701-1800
Phone (740) 454-4651
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CA1586 | Other | GROUP MEDICARE RAILROAD | |
| 000000185162 | Other | OH | ANTHEM PIN |
| 0989499 | Other | OH | GROUP MEDICAID |
| 000000177775 | Other | OH | UNISON PIN |
| 311413469032 | Other | OH | CARESOURCE PIN |
| PO4030321 | Other | MEDICARE PTAN | |
| 2204153 | Medicaid | OH | |
| 0105421 | Other | OH | UHC PIN |
| 080161106 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35077980 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219104000000",
"number": "1942285796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "860 BETHESDA DR",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437011800",
"telephone_number": "740-454-4651",
"fax_number": "740-454-4653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E 3RD ST",
"city": "FRAZEYSBURG",
"state": "OH",
"postal_code": "438229651",
"telephone_number": "740-828-1020",
"fax_number": "740-828-9089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POIRIER",
"first_name": "ROBERT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2008-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35077980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE RAILROAD",
"identifier": "CA1586",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN",
"identifier": "000000185162",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICAID",
"identifier": "0989499",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON PIN",
"identifier": "000000177775",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE PIN",
"identifier": "311413469032",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "PO4030321",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2204153",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "0105421",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080161106",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frazeysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.