Individual provider Active NPI

Bijan Goodarzi, M.D.

  • Obstetrics & Gynecology Physician
  • Zanesville, OH
National Provider Identifier
1992781439
Registry record updated Nov 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35052540 Issued in OH
Practice address
975 Bethesda Dr
Zanesville, OH 43701-7500
Phone
(740) 454-6808
Fax
(740) 454-2236
NPI assigned
Dec 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 35052540 OH Primary

Addresses

Primary practice location

975 Bethesda Dr
Zanesville, OH 43701-7500

Mailing address

860 Bethesda Dr
Zanesville, OH 43701-1800
Phone (740) 454-4651

Other identifiers 9

IdentifierTypeStateIssuer
311413469039OtherOHCARESOURCE PIN
CA1586OtherGROUP MEDICARE RAILROAD
000000185164OtherOHANTHEM PIN
GO0640462OtherMEDICARE PTAN
0655778MedicaidOH
000000177088OtherOHUNISON PIN
0700191OtherOHUHC PIN
0989499OtherOHGROUP MEDICAID
160051600OtherOHMEDICARE RAILROAD

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080618000317 OH Practitioner - Obstetrics/Gynecology 5799866737 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35052540OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Muskingum Valley Health Centers CurrentSince Jan 1, 2008 Accepting new patients
Muskingum Valley Health Centers CurrentSince Jan 1, 2008 Accepting new patients
Muskingum Valley Health Centers Current Accepting new patients
Ohio Psychiatric Associates, Inc Past Accepting new patients

Locations

1330 Clark St
Cambridge, OH 43725
Phone (740) 421-9530

440 Browns Ln
Coshocton, OH 43812
Phone (740) 295-3331

450 Downtowner Plz
Coshocton, OH 43812
Phone (740) 487-3110

406 S 15th St
Coshocton, OH 43812
Phone (740) 295-3331

859 N Main St
Malta, OH 43758
Phone (740) 962-6111

2725 Pinkerton Ln
Zanesville, OH 43701
Phone (740) 487-3348

915 Putnam Ave
Zanesville, OH 43701
Phone (407) 891-9000

33 S 5th St
Zanesville, OH 43701
Phone (407) 891-9000

716 Adair Ave
Zanesville, OH 43701
Phone (740) 454-5239

Organizations & group practices 4

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1992781439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011800",
            "telephone_number": "740-454-4651",
            "fax_number": "740-454-4653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 BETHESDA DR",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017500",
            "telephone_number": "740-454-6808",
            "fax_number": "740-454-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODARZI",
        "first_name": "BIJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35052540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE PIN",
            "identifier": "311413469039",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE RAILROAD",
            "identifier": "CA1586",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000185164",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GO0640462",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0655778",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON PIN",
            "identifier": "000000177088",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PIN",
            "identifier": "0700191",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "0989499",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "160051600",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.