1801928981 NPI number — RICHARD D SAXBY III INC.

Table of content: (NPI 1801928981)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801928981 NPI number — RICHARD D SAXBY III INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RICHARD D SAXBY III 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:
Provider Other Organization Name Type Code:
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:
1801928981
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/23/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 4209
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
IRONTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45638-4209
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
740-532-3611
Provider Business Mailing Address Fax Number:
740-532-5077

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2004 S 4TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
IRONTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45638-2417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-532-3611
Provider Business Practice Location Address Fax Number:
740-532-5077
Provider Enumeration Date:
03/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SAXBY
Authorized Official First Name:
RICHARD
Authorized Official Middle Name:
DONALD
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
740-532-3611

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  2873 , 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: 8205130 . This is a "CIGNA" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 90004151 . This is a "MEDICAID DME" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 000000041976 . This is a "ANTHEM" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 4800224301 . This is a "RR MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 80000177 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 0133715 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2780354 . This is a "UHC" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 290786839002 . This is a "MEDICAL MUTUAL" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 001715086 . This is a "MSBCBS" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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