MID-OHIO VALLEY PHYSICAL MEDICINE (NPI# 1700098811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700098811 |
| Entity Type | Organization |
| Organization Name | MID-OHIO VALLEY PHYSICAL MEDICINE |
| Practice Address |
400 Matthew Street Suite 306 Marietta OH 45750 |
| Practice Telephone | 7403765044 |
| Practice Fax Number | 7403741792 |
| Mailing Telephone | 7403765044 |
| Mailing Fax Number | 7403741792 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-07-17 |
| Authorized Official Name | DAVID WILLIAM LACEY (PRESIDENT) |
| Authorized Official Telephone | 7403765044 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
35066931L | OH | Allopathic & Osteopathic Physicians |
| N | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
35066931L | OH | Allopathic & Osteopathic Physicians |
| N | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
35066931L | OH | Allopathic & Osteopathic Physicians |
| Y | 208100000X | Physical Medicine & Rehabilitation | 35066931L | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0113577000 | 05 | |
| OH | L0982950 | 05 |
| Street Address |
400 MATTHEW STREET SUITE 306 |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428935 | Bounce, LLC | Physical Medicine & Rehabilitation | 165 Vann Street Ne, Marietta, GA 30060-7249 | 2016-02-26 |
| 1750602405 | Karon Nachelle Hammonds | Physical Medicine & Rehabilitation | 100 Lacy Street, Suite 150, Marietta, GA 30060 | 2010-06-17 |
| 1053359034 | Ken Gordon Knott | Physical Medicine & Rehabilitation | 1455 Bells Ferry Rd, Suite 100, Marietta, GA 30066-6078 | 2006-06-03 |
| 1740267640 | Eric David Solomon | Physical Medicine & Rehabilitation | 1395 S Marietta Pkwy Se, Bldg 100 Ste 102, Marietta, GA 30067-4440 | 2005-12-30 |
| 1750383337 | Alexander D Minard | Physical Medicine & Rehabilitation | 400 Matthew St Ste 306, Marietta, OH 45750-1656 | 2005-08-12 |
| 1457354185 | Alison Drake-barrack | Physical Medicine & Rehabilitation | 1230 Johnson Ferry Pl, Suite H 15, Marietta, GA 30068-2048 | 2005-05-27 |
| 1134639131 | Holistica Medical LLC | Physical Medicine & Rehabilitation | 2550 Windy Hill Rd Se Ste 215, Marietta, GA 30067-8654 | 2017-10-04 |
| 1194128447 | Procare Medical Group, LLC | Physical Medicine & Rehabilitation | 1395 S Marietta Pkwy Se, Bldg 100 Suite 102, Marietta, GA 30067-4440 | 2014-10-01 |
| 1922418763 | Maria Anne Beran | Physical Medicine & Rehabilitation | 100 Lacy St Nw Ste 150, Marietta, GA 30060 | 2014-05-01 |
| 1477963668 | Roberta Lui | Physical Medicine & Rehabilitation | 100 Lacy St Nw Ste 150, Marietta, GA 30060 | 2014-04-28 |
| Find all providers in MARIETTA | ||||
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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.