| Prime Healthcare Foundation - Coshocton, Llc | |
|
1460 Orange St Coshocton OH 43812-2229 | |
| (740) 622-6411 | |
| (740) 622-1238 |
| Full Name | Prime Healthcare Foundation - Coshocton, Llc |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 1460 Orange St, Coshocton, Ohio |
| Authorized Official Name and Position | Christopher Doan (MANAGING ASSOCIATE GENERAL COUNSEL) |
| Authorized Official Contact | 3102594706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Healthcare Foundation - Coshocton, Llc Po Box 1450 Coshocton OH 43812-6450 Ph: (740) 622-6411 | Prime Healthcare Foundation - Coshocton, Llc 1460 Orange St Coshocton OH 43812-2229 Ph: (740) 622-6411 |
| NPI Number | 1013468172 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 11/11/2019 |
| Medicare PECOS PAC ID | 8820379662 |
|---|---|
| Medicare Enrollment ID | O20170110000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013468172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 282N00000X | General Acute Care Hospital | 1129 (Ohio) | Primary |
| Provider Name | David R Giammar |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1154307858 PECOS PAC ID: 9739152125 Enrollment ID: I20040813001144 |
| Provider Name | David Akwainja Kittoe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730149154 PECOS PAC ID: 9931164555 Enrollment ID: I20041123000606 |
| Provider Name | Robert B Gwinn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831194158 PECOS PAC ID: 4789616103 Enrollment ID: I20050907000460 |
| Provider Name | Mark T Jaroch |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1932209418 PECOS PAC ID: 1658395199 Enrollment ID: I20070717000405 |
| Provider Name | Jeffrey A Hamilton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972719318 PECOS PAC ID: 9830282474 Enrollment ID: I20070912000462 |
| Provider Name | Meisam Hosseinabadi Moghbelli |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790827210 PECOS PAC ID: 1557438546 Enrollment ID: I20080917000101 |
| Provider Name | Douglas J Virostko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538164868 PECOS PAC ID: 4486699709 Enrollment ID: I20090430000007 |
| Provider Name | Christine M Higgins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447230008 PECOS PAC ID: 8820140031 Enrollment ID: I20090720000360 |
| Provider Name | Haval M Saadlla |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1659458156 PECOS PAC ID: 1759303043 Enrollment ID: I20090922000645 |
| Provider Name | Douglas W Yoder |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124096896 PECOS PAC ID: 9335291194 Enrollment ID: I20100225000704 |
| Provider Name | Gary James Carver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982781563 PECOS PAC ID: 9234150301 Enrollment ID: I20100810000577 |
| Provider Name | Linda S Weekley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598187866 PECOS PAC ID: 7911136262 Enrollment ID: I20140206001681 |
| Provider Name | Michael Butler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790105914 PECOS PAC ID: 6608091699 Enrollment ID: I20140708000431 |
| Provider Name | Hayden Hung-tan Tran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124319272 PECOS PAC ID: 2961628698 Enrollment ID: I20140801000308 |
| Provider Name | Mary Lynne Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811399637 PECOS PAC ID: 4587886965 Enrollment ID: I20141119002545 |
| Provider Name | Wendy Bersabe Brandan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164784401 PECOS PAC ID: 2668785957 Enrollment ID: I20150715001734 |
| Provider Name | Raul Zamora |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538484415 PECOS PAC ID: 7416262332 Enrollment ID: I20150820010963 |
| Provider Name | Rajene Gerette Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225401623 PECOS PAC ID: 7810299393 Enrollment ID: I20151230002329 |
| Provider Name | Nickolas W Fouladpour |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407175052 PECOS PAC ID: 9931495769 Enrollment ID: I20160902002042 |
| Provider Name | Dawn E White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457864977 PECOS PAC ID: 9335408723 Enrollment ID: I20180110000762 |
| Provider Name | Bonnie Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760970479 PECOS PAC ID: 6507117314 Enrollment ID: I20180918002150 |
| Provider Name | Charles F Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841765203 PECOS PAC ID: 4587918883 Enrollment ID: I20181126000446 |
| Provider Name | Jose Vicente M Danguilan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720534480 PECOS PAC ID: 9234427444 Enrollment ID: I20190819002859 |
| Provider Name | Audra L Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205298320 PECOS PAC ID: 7911334495 Enrollment ID: I20200221001515 |
| Provider Name | Kelsey Gosser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336789015 PECOS PAC ID: 5890122261 Enrollment ID: I20200224002743 |
| Provider Name | Laura L Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508498924 PECOS PAC ID: 6305267022 Enrollment ID: I20200605000531 |
| Provider Name | Diana L Balisbis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598282261 PECOS PAC ID: 5597039016 Enrollment ID: I20201203000787 |
| Provider Name | Stephanie Richcreek |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447750823 PECOS PAC ID: 2668729906 Enrollment ID: I20210823001243 |
| Provider Name | Betsy Ann Alverson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841960739 PECOS PAC ID: 9537566039 Enrollment ID: I20210927001637 |
| Provider Name | Tiffany Triol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427709690 PECOS PAC ID: 2567856974 Enrollment ID: I20220301001924 |
| Provider Name | Tarah Jaras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144960717 PECOS PAC ID: 8123400330 Enrollment ID: I20220804002661 |
| Provider Name | Courtney Lynn Boyd |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437712692 PECOS PAC ID: 4587997499 Enrollment ID: I20230220001451 |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 Cambridge Rd Ste 100, Coshocton, OH 43812 Phone: 740-891-9000 Fax: 740-891-9001 | |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 440 Browns Ln, Coshocton, OH 43812 Phone: 740-891-9000 Fax: 740-891-9001 | |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Browns Ln, Coshocton, OH 43812 Phone: 740-891-9000 Fax: 740-891-9001 | |
Alfred H. Magness, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Orange St, Coshocton, OH 43812 Phone: 740-622-3668 Fax: 740-622-4696 | |
Muskingum Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 406 S 15th St, Coshocton, OH 43812 Phone: 740-891-9000 Fax: 740-891-9001 | |
Coshocton Family Health Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 S 15th St, Coshocton, OH 43812 Phone: 740-622-5060 Fax: 740-295-3337 |