Active NPI
Mid Ohio Neurology, Inc
- Specialist
- Newark, OH
National Provider Identifier
1992890545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- MID OHIO NEUROLOGY, INC
- Practice address
- 1916 Tamarack Rd
Newark, OH 43055-2303 - Phone
- (740) 522-6110
- Fax
- (740) 522-0126
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mourad Abdelmessih, M.D.
- Title
- Owner
- Phone
- (740) 522-6110
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
1916 Tamarack Rd
Newark, OH 43055-2303
Mailing address
1916 Tamarack Rd
Newark, OH 43055-2303
Phone (740) 522-6110
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000314455 | Other | ANTHEM GROUP NUMBER | |
| 2431167 | Medicaid | OH | |
| DA5551 | Other | OH | MEDICARE RAILROAD GROUP |
| 0811063 | Other | NEUROLOGY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1916 Tamarack Rd
Newark, OH 43055
Phone (740) 349-2978
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Columbus, OH
- NPI 1346324738
-
- Neurology Physician
- Dublin, OH
- NPI 1578787990
-
- Family Nurse Practitioner
- Zanesville, OH
- NPI 1053635086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723593600000",
"number": "1992890545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552303",
"telephone_number": "740-522-6110",
"fax_number": "740-522-0126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1916 TAMARACK RD",
"city": "NEWARK",
"state": "OH",
"postal_code": "430552303",
"telephone_number": "740-522-6110",
"fax_number": "740-522-0126"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MID OHIO NEUROLOGY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A",
"authorized_official_last_name": "ABDELMESSIH",
"authorized_official_first_name": "MOURAD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "740-522-6110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM GROUP NUMBER",
"identifier": "000000314455",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2431167",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD GROUP",
"identifier": "DA5551",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEUROLOGY",
"identifier": "0811063",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.