MID OHIO NEURO OPHTHALMOLOGY AND NEURO OTOLOGY INC NPI 1710102751

NPI Information

NPI: 1710102751
Provider Name: MID OHIO NEURO OPHTHALMOLOGY AND NEURO OTOLOGY INC
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Organization

Specialization: Neurology

Address:
751 FOREST AVE
ZANESVILLE, OH
ZIP 43701
Phone: (740) 452-4053
Get Directions

MID OHIO NEURO OPHTHALMOLOGY AND NEURO OTOLOGY INC is a neurology psychiatry neurology in Zanesville, OH. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. MID OHIO NEURO OPHTHALMOLOGY AND NEURO OTOLOGY INC NPI is 1710102751. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

751 FOREST AVE
ZANESVILLE, OH
ZIP 43701-868
Phone: (740) 452-4053
Fax: (740) 452-4580

The provider's authorized official is Robert Walter Jensen .
The authorized official title is Owner Provider and has the following contact phone number (740) 452-4053.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 8/28/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	35082933	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G12526	MEDICARE UPIN	OHIO
2	2144807	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »