Individual provider Active NPI

Kim Ronald Routh, DO

  • Family Medicine Physician
  • Athens, OH
National Provider Identifier
1992774350
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-008410 Issued in OH
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

Updated by the provider on Nov 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2549737MedicaidOH

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

LicenseStateTypeSpecialty
34-008410OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Active Wound Care Clinics LLC PastSince Sep 1, 2014 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. PastSince Jan 19, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.