MUSKINGUM UNIVERSITY (NPI# 1568029205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568029205 |
| Entity Type | Organization |
| Organization Name | MUSKINGUM UNIVERSITY |
| Practice Address |
163 Stormont St New Concord OH 43762-1118 |
| Mailing Address |
5050 Spring Valley Rd Dallas TX 75244-3995 |
| Practice Telephone | 7408268211 |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |
| Authorized Official Name | MOUZON BASS III (ADMINISTRATOR/AGENT) |
| Authorized Official Telephone | 9723674845 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Muskingum Sports Medicine | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MUSKINGUM UNIVERSITY | 163 Stormont St, New Concord, OH 43762-1118 |
| Street Address |
163 STORMONT ST |
| City | NEW CONCORD |
| State | OH |
| Zip Code | 43762-1118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760898852 | Kenneth Blood | Specialist/Technologist | 163 Stormont St, New Concord, OH 43762-1118 | 2014-07-09 |
| 1023677036 | Jailene Ericka Olds | Specialist/Technologist | 163 Stormont St, New Concord, OH 43762-1118 | 2019-06-12 |
| 1306303896 | Spencer Hammond | Specialist/Technologist | 163 Stormont St, New Concord, OH 43762-1118 | 2019-02-21 |
| 1568927275 | Megan Faith Devol | Student in an Organized Health Care Education/Training Program | 163 Stormont St, New Concord, OH 43762-1118 | 2019-02-06 |
| 1205325321 | Kristen Russell | Specialist/Technologist | 163 Stormont St, New Concord, OH 43762-1118 | 2018-05-03 |
| 1396289567 | Alicia Hurps | Specialist/Technologist | 163 Stormont St, New Concord, OH 43762-1118 | 2016-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255737698 | Tiffanie Jones | Specialist/Technologist | 163 Stormont Street, New Concord, OH 43762 | 2014-11-12 |
| 1821000399 | Rick A Barstow Dds Inc | Dentist | 114 West Main St, New Concord, OH 43762 | 2006-08-13 |
| 1275567364 | Lisa Jo Morris | Licensed Practical Nurse | 13400 Lookout Rd, New Concord, OH 43762 | 2006-07-11 |
| 1063403582 | Zandex Health Care Corporation | Skilled Nursing Facility | 1280 Friendship Dr, New Concord, OH 43762-1024 | 2005-11-03 |
| 1316414519 | Continuing Healthcare Beckett House, LLC | Skilled Nursing Facility | 1280 Friendship Dr, New Concord, OH 43762-1024 | 2018-10-26 |
| 1073049771 | Lauren Dolick | Specialist/Technologist | 19 Garfield Ave, New Concord, OH 43762-1027 | 2017-05-02 |
| 1952541401 | Michael Edwin Merritt | Registered Nurse | 209 Westview Dr, New Concord, OH 43762-1037 | 2009-02-24 |
| 1497072672 | Crystal Renee Poland | Licensed Practical Nurse | 166 Harper St, New Concord, OH 43762-1107 | 2010-04-27 |
| 1053621706 | Joseph Dental Group of New Concord L.L.C. | Dentist | 114 W Main St, New Concord, OH 43762-1143 | 2010-10-15 |
| 1164633871 | Rick A Barstow | Dentist | 114 W Main St, New Concord, OH 43762-1143 | 2007-05-24 |
| Find all providers in zip 43762 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1437796042 | Integrated Medicine of Ohio LLC | General Practice | 2780 S Arlington Rd Ste 202, Coventry Township, OH 44312-4707 | 2019-12-02 |
| 1265078497 | Jaime L Go Md Inc | General Practice | 1200 Resource Dr, Brooklyn Hts, OH 44131-1849 | 2019-11-22 |
| 1558902809 | Wecare Health Clinic Group, LLC | General Practice | 8918 Reading Rd, Cincinnati, OH 45215-3228 | 2019-10-07 |
| 1063062354 | Independent Physical Medicine LLC | General Practice | 3469 W Elm St, Lima, OH 45807-2226 | 2019-09-18 |
| 1861041535 | Allied Medical Integration, LLC | General Practice | 7067 Tiffany Blvd Ste 280, Poland, OH 44514-1803 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | NEW CONCORD |
| Zip Code | 43762 |
Please comment or provide details below to improve the information on MUSKINGUM UNIVERSITY.
| 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.