PHYSICIANS GROUP OF SOUTHEASTERN OHIO INC (NPI# 1528177730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528177730 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS GROUP OF SOUTHEASTERN OHIO INC |
| Practice Address |
3606 Maple Ave Zanesville OH 43701-1072 |
| Practice Telephone | 7404553304 |
| Practice Fax Number | 7404553686 |
| Mailing Telephone | 7404553304 |
| Mailing Fax Number | 7404553686 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | BRADLEY COLMAN (PRESIDENT & CEO) |
| Authorized Official Telephone | 7404553304 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
3606 MAPLE AVE |
| City | ZANESVILLE |
| State | OH |
| Zip Code | 43701-1072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932694791 | Robert Edward Russell II | Counselor | 1590 Coal Run Rd., Zanesville, OH 43701 | 2018-06-25 |
| 1871010975 | Amy Caroline Blackford | Occupational Therapist | 4039 Old Wheeling Road, Zanesville, OH 43701 | 2017-08-29 |
| 1598286825 | Michele Ann Ehrnfield | Counselor | 930 Bethesda Drive, Zanesville, OH 43701 | 2017-06-27 |
| 1306382163 | Nadine Curry | Counselor | 4509 Pinkerton Rd, Foxfire Schools, Zanesville, OH 43701 | 2017-01-17 |
| 1669916219 | Kathleen Caughell | Counselor | 1590 Coal Run Rd, Zanesville, OH 43701 | 2016-12-15 |
| 1154877728 | Katherine Williams | Registered Nurse | 1125 Ellis Dam Rd, Zanesville, OH 43701 | 2016-09-01 |
| 1801342415 | Foxfire Intermediate School | Local Education Agency (LEA) | 2805 Pinkerton Road, Zanesville, OH 43701 | 2016-09-01 |
| 1770936353 | Tiffany Branson | Nurse Practitioner | 955 Bethesda Drive, 1st Floor, Zanesville, OH 43701 | 2016-07-19 |
| 1194175497 | Life Support Therapy Services LLC | Counselor | 941 Blue Ave, Zanesville, OH 43701 | 2016-06-16 |
| 1669876546 | Tami Sue Wofter | Licensed Practical Nurse | 21 Butler Drive, Zanesville, OH 43701 | 2014-10-21 |
| Find all providers in zip 43701 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952850315 | Thomas P Forrestal Jr | Family Medicine | 1115 Stonington Pl, Zanesville, OH 43701-7210 | 2016-09-27 |
| 1154494342 | Dan J Ailes Md Inc | Family Medicine | 950 Bethesda Dr Ste 5, Zanesville, OH 43701-7507 | 2006-11-16 |
| 1134105729 | Douglas Myers | Family Medicine | 4063 N Pointe Dr, Suite B, Zanesville, OH 43701-7647 | 2005-12-16 |
| 1063497824 | Walter Wielkiewicz | Family Medicine | 950 Bethesda Dr, Zanesville, OH 43701-7507 | 2005-12-14 |
| 1043200249 | Ronald J Kalchik | Family Medicine | 200 N Maysville Ave, Zanesville, OH 43701-6172 | 2005-10-27 |
| 1407844749 | Kristofer Gibson Sandlund | Family Medicine | 1215 Newark Road, Zanesville, OH 43701-2861 | 2005-10-11 |
| 1417945981 | Mark Anthony Trout | Family Medicine | 870 Orchard Hill Rd, Zanesville, OH 43701-1363 | 2005-10-10 |
| 1154316909 | Maria S Jamiolkowski | Family Medicine | 945 Bethesda Dr, Suite 110, Zanesville, OH 43701-0801 | 2005-09-19 |
| 1881699114 | Michael D Woolery | Family Medicine | 930 Bethesda Dr, Zanesville, OH 43701-0815 | 2005-06-14 |
| 1891102489 | Seth Vensil | Family Medicine | 1210 Ashland Ave, Zanesville, OH 43701-2806 | 2014-07-16 |
| Find all providers in ZANESVILLE | ||||
| City | ZANESVILLE |
| Zip Code | 43701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.