Zanesville Pediatrics Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35074759G Issued in OH

Legal business name

ZANESVILLE PEDIATRICS INC

Practice address

1066 Beverly Ave
Zanesville, OH 43701-1415

Phone

(740) 450-9200

NPI assigned

Mar 9, 2011

Organization subpart

No

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

Authorized official

Name

Rajiv Gupta, MDNPI 1164425526

Title

Physician

Phone

(740) 450-9200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Zanesville Pediatrics Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajiv Gupta, MD, MRCP(UK)

  • Pediatrics Physician
  • Zanesville, OH
  • NPI 1164425526
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1992003313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 BEVERLY AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011415",
            "telephone_number": "740-450-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 BEVERLY AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011415",
            "telephone_number": "740-450-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZANESVILLE PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-09",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "740-450-9200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35074759G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2131044",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zanesville Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Zanesville Specialists, Inc.
• Zanesville Surgery Center LLC
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• Zanesville Vascular Vein & Wound Center LLC
• Zanesville Vision Care LLC

• Pediatrics Physician in Zanesville, OH
• Providers in Zanesville, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.