Active NPI
Kim Ronald Routh, DO
- Family Medicine Physician
- Athens, OH
National Provider Identifier
1992774350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-008410
- Practice address
- 86 Columbus Rd Ste 203
Athens, OH 45701-1331 - Phone
- (740) 331-6910
- NPI assigned
- Mar 16, 2006
- 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 | 34-008410 | OH | Primary |
Addresses
Primary practice location
86 Columbus Rd Ste 203
Athens, OH 45701-1331
Mailing address
1915 Stargrass Ave
Grove City, OH 43123-9472
Phone (614) 277-0953
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2549737 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34-008410 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro-Active Wound Care Clinics LLC | Past | Accepting new patients | |
| Marion General Hospital Foundation, Inc. | Past | Accepting new patients | |
| Mount Carmel Health Providers III LLC | Past | Accepting new patients | |
| Springfield Emergency Physicians, Inc. | Past | Accepting new patients | |
| Madison Emergency Physicians Inc | Past | Accepting new patients | |
| Marion Physician Billing LLC | Past | Accepting new patients | |
| Bucyrus Emergency Physicians Inc | Past | Accepting new patients | |
| Heaton Family Chiropractic, Inc. | Past | Accepting new patients |
Interoperability endpoints
- kim.routh@mmhs.medicity.net
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Bucyrus, OH
- NPI 1073513164
-
- Chiropractor
- Grove City, OH
- NPI 1336326800
-
- Emergency Medicine Physician
- London, OH
- NPI 1720089766
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1134114077
-
- Emergency Medicine Physician
- Marion, OH
- NPI 1013247568
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1013942630
-
- Foot & Ankle Surgery Podiatrist
- Dublin, OH
- NPI 1467485813
-
- Emergency Medicine Physician
- Springfield, OH
- NPI 1407810534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1992774350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915 STARGRASS AVE",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431239472",
"telephone_number": "614-277-0953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "86 COLUMBUS RD STE 203",
"city": "ATHENS",
"state": "OH",
"postal_code": "457011331",
"telephone_number": "740-331-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUTH",
"first_name": "KIM",
"middle_name": "RONALD",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-008410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2549737",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Athens, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.