Individual provider Active NPI

Zachary O Bosley, D.O.

  • Internal Medicine Physician
  • Point Pleasant, WV
National Provider Identifier
1952717571
Registry record updated Nov 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3219 Issued in WV
Practice address
2605 Jackson Ave
Point Pleasant, WV 25550-1615
Phone
(855) 446-5937
Fax
(304) 675-2103
NPI assigned
Jul 2, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 3219 WV Primary

Addresses

Primary practice location

2605 Jackson Ave
Point Pleasant, WV 25550-1615

Mailing address

90 Jackson Pike
Gallipolis, OH 45631
Phone (304) 675-4498

Other identifiers 2

IdentifierTypeStateIssuer
0237984MedicaidOH
1952717571MedicaidWV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address zachary.bosley.1@17389.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170906001555 OH Practitioner - Internal Medicine 2567762990 Reassigns benefits to 1 organization
I20170925000860 WV Practitioner - Internal Medicine 2567762990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holzer Clinic LLCGroup PAC ID 5890606008, 266 clinicians

Practice addresses (Care Compare)

100 Jackson Pike
Gallipolis, OH 45631-1560
Phone (740) 446-5050

140 Jenkins Memorial Rd
Wellston, OH 45692-9561
Phone (740) 384-2167

142 Jenkins Memorial Rd
Wellston, OH 45692-9561
Phone (740) 384-2119

2111 E State St
Suite 250
Athens, OH 45701-2138
Phone (740) 589-3100

2131 E State St
Athens, OH 45701-2138
Phone (740) 589-3100

2605 Jackson Ave
Point Pleasant, WV 25550-1615
Phone (304) 675-4498

280 Pattonsville Rd
Jackson, OH 45640-9452
Phone (740) 395-8805

500 Burlington Rd
Jackson, OH 45640-9360
Phone (740) 395-8420

512 N Front St
Oak Hill, OH 45656-1133
Phone (740) 682-3888

88 E Memorial Dr
Pomeroy, OH 45769-9569
Phone (740) 992-0060

90 Jackson Pike
Gallipolis, OH 45631-1560

98 State St
Proctorville, OH 45669-8163
Phone (740) 886-9370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.27 of 100Reported as group
Quality
68.56
Promoting interoperability
100
Improvement activities
40
Cost
68.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3219WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holzer Clinic, LLC CurrentSince Aug 17, 2017 Accepting new patients
I Path LLC Current Accepting new patients

Locations

100 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5050

90 Jackson Pike
Gallipolis, OH 45631
Phone (740) 446-5131

2605 Jackson Ave
Pt Pleasant, WV 25550
Phone (304) 675-4498

Interoperability endpoints

  • Direct secure messaging: zachary.bosley.1@17389.direct.athenahealth.com

Organizations & group practices 2

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": "1404259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1952717571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 JACKSON PIKE",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "45631",
            "telephone_number": "304-675-4498",
            "fax_number": "304-675-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 JACKSON AVE",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501615",
            "telephone_number": "855-446-5937",
            "fax_number": "304-675-2103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSLEY",
        "first_name": "ZACHARY",
        "middle_name": "O",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-02",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "3219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237984",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952717571",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "zachary.bosley.1@17389.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2605 Jackson Ave",
            "city": "Point Pleasant",
            "state": "WV",
            "country_code": "US",
            "postal_code": "255501615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Point Pleasant, WV

Sources for this page

Verify at the official NPI Registry.