Active NPI
Pratik M Vaishnav, M.D.
- Emergency Medicine Physician
- Marietta, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35087579
- Practice address
- 401 Matthew St
Emergency Department
Marietta, OH 45750-1635 - Phone
- (740) 376-1939
- Fax
- (740) 374-1693
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35087579 | OH | Primary |
Addresses
Primary practice location
401 Matthew St
Emergency Department
Marietta, OH 45750-1635
Mailing address
PO Box 449
Marietta, OH 45750-0449
Phone (740) 374-4500
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01036918 | Other | OH | RAILROAD MEDICARE PTAN |
| 2653203 | Medicaid | OH | |
| 3810005301 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35087579 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hles of Ohio, Inc. | Emergency Medicine | Current | Accepting new patients |
| Hles of Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| River Valley Physicians, LLC | Current | Accepting new patients | |
| Hles of Ohio Inc | Emergency Medicine | Current | Accepting new patients |
| Openloop Healthcare Partners PC | Past | Accepting new patients |
Locations
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
15655 State Route 170
Ste H
East Liverpool, OH 43920
Phone (330) 932-0183
15655 State Route 170
Ste B
East Liverpool, OH 43920
Phone (330) 386-3610
425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FBJFBA
Organizations & group practices 5
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.
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-
- Multi-Specialty Clinic/Center
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- NPI 1891756870
-
- Emergency Medicine Physician
- East Liverpool, OH
- NPI 1487380770
-
- Emergency Medicine Physician
- Coshocton, OH
- NPI 1508301623
-
- General Practice Physician
- Des Moines, IA
- NPI 1245820661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1982655833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 449",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457500449",
"telephone_number": "740-374-4500",
"fax_number": "740-374-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 MATTHEW ST",
"address_2": "EMERGENCY DEPARTMENT",
"city": "MARIETTA",
"state": "OH",
"postal_code": "457501635",
"telephone_number": "740-376-1939",
"fax_number": "740-374-1693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAISHNAV",
"first_name": "PRATIK",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35087579",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P01036918",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2653203",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810005301",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.