1932327384 NPI number — DAVID B. NASH MD INC

Table of content: (NPI 1932327384)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932327384 NPI number — DAVID B. NASH MD INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID B. NASH MD INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SALEM PATHOLOGY ASSOCIATES
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932327384
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/08/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
L - 3135
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43260-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-758-2775
Provider Business Mailing Address Fax Number:
330-758-2787

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1995 E STATE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALEM
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44460-2423
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-332-7320
Provider Business Practice Location Address Fax Number:
330-332-7723
Provider Enumeration Date:
04/23/2007

Additional Information

Authorized Official

Authorized Official Last Name:
NASH
Authorized Official First Name:
DAVID
Authorized Official Middle Name:
B.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
330-286-0370

Provider Taxonomy Codes

  • Taxonomy code: 293D00000X , with the licence number:  35043342 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 000000165847 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 0581035 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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