COMMUNITY MEDICAL PRACTICES, LLC (NPI# 1851598155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851598155 |
| Entity Type | Organization |
| Organization Name | COMMUNITY MEDICAL PRACTICES, LLC |
| Other Organization Name | KNOX COMMUNITY PHYSICIAN PRACTICES |
| Practice Address |
1330 Coshocton Ave Mount Vernon OH 43050 |
| Mailing Address |
1330 Coshocton Ave Mount Vernon OH 43050-1440 |
| Practice Telephone | 7403939000 |
| Mailing Telephone | 7403939000 |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2008-03-17 |
| Authorized Official Name | MR. MICHAEL AMBROSIANI (CFO) |
| Authorized Official Telephone | 7403939000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35.077162 | OH | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 35.062118 | OH | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 35.071692 | OH | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 35.071450 | OH | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 35.084067 | OH | Allopathic & Osteopathic Physicians |
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
35.070803 | OH | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 35.048273 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35.087474 | OH | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 35.069402 | OH | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | 35.037157 | OH | Allopathic & Osteopathic Physicians |
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
35.087092 | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Knox Community Physician Practices | Other Name - Individual/Organization |
| Street Address |
1330 COSHOCTON AVE |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175540 | Knox Diagnostic Imaging LLC | Specialist | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2005-06-24 |
| 1568079036 | Ashlee Sloan | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2020-09-28 |
| 1619592763 | Knox Community Hospital | Pharmacy | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2020-06-15 |
| 1083236921 | Knox Community Hospital | Rehabilitation Unit | 1330 Coshocton Ave, Mount Vernon, OH 43050 | 2020-05-14 |
| 1235606328 | Allison Raye Doup | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2018-10-27 |
| 1528534955 | Brandi Le Ann Pennington | Family Medicine | 1330 Coshocton Ave, Mount Vernon, OH 43050-1495 | 2018-10-24 |
| 1215448626 | Jessica Smith | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-10-12 |
| 1124542006 | Larry Lee Weckesser | Nurse Practitioner | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-08-01 |
| 1063934081 | Elizabeth Ann Powell | Specialist/Technologist | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-07-11 |
| 1427579895 | Phillip Andrew Newman | Registered Nurse | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2017-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205177912 | Rockcastle County Hospital, Inc. | Pediatrics | 140 Newcomb Ave, Mount Vernon, KY 40456-2725 | 2013-03-05 |
| 1962525402 | Rockcastle Ventures Inc. D.b.a. Callie Shaffer, M.d. | Pediatrics | 140 Newcomb Ave, Mount Vernon, KY 40456-2728 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396264453 | Sinem Akgul | Pediatrics | Livingston Ambulatory Center, 380 Butterfly Gardens Drive, Columbus, OH 43215 | 2017-09-10 |
| 1871890764 | Saroj Ajitkumar Pagedar | Pediatrics | 2317 Brigadoon Ct, Westlake, OH 44145-3024 | 2011-02-11 |
| 1801001078 | Ernesto Cabales Bunye | Pediatrics | 13501 Bennington Blvd, Middleburg Heights, OH 44130-7131 | 2007-05-11 |
| 1295812261 | Hanan Nashed | Pediatrics | 12700 Lake Ave, Suite 705, Lakewood, OH 44107-1576 | 2006-11-01 |
| 1679659890 | Julie Smith Fennig | Pediatrics | 1775 Delco Park Dr, Kettering, OH 45420-1398 | 2006-10-31 |
| 1891881504 | Walter R Lucas | Pediatrics | 17075 Pearl Road, Strongsville, OH 44136 | 2006-10-04 |
| 1548354665 | Mary Brigid Chitwood | Pediatrics | 9000 North Main Street, Suite 332, Dayton, OH 45415-1185 | 2006-10-03 |
| 1033219365 | Kevin A. Horvath | Pediatrics | 1483 West Main Street, Tipp City, OH 45371 | 2006-09-25 |
| 1366544926 | Enaas F Kasheer | Pediatrics | 3966 Brown Park Dr, Suites C & D, Hilliard, OH 43026-1164 | 2006-09-03 |
| 1851306310 | Trihealth Q, LLC | Pediatrics | 3621 Rossgate Ct, Hamilton, OH 45013-9558 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on COMMUNITY MEDICAL PRACTICES, LLC.
| 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.