JACKSON AREA FAMILY PRACTICE & PEDIATRICS
NPI 1073790911
Family Medicine in Jackson, OH

Q: What is Adena Health System's NPI number?

The NPI number for Adena Health System is 1073790911. It was assigned to this organization in the NPPES registry on January 23, 2008. The provider is doing business as Jackson Area Family Practice & Pediatrics.

Q: What is Adena Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 23, 2008CLIA 36D0957375 · Waiver

1000 VETERANS DR, JACKSON, OH 45640(740) 395-8090(740) 395-8197 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jackson Area Family Practice & Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON AREA FAMILY PRACTICE & PEDIATRICS (NPI 1073790911) is a healthcare organization registered as a family medicine in Jackson, Ohio and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through February 18, 2027 and lists Robert M Rosenberger, Cfo, as its authorized official.

NPPES Registry Identity

NPI1073790911

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameADENA HEALTH SYSTEM

Location Address1000 VETERANS DRJackson, OH 45640-9586

Mailing Address272 Hospital Rd, Suite 3Chillicothe, OH 45601-9031 · (740) 779-4460 · Fax (740) 779-4257

Phone(740) 395-8090

Fax(740) 395-8197

Organization SubpartNo

Authorized OfficialRobert M RosenbergerCfo · (740) 779-7582

Enumeration DateJanuary 23, 2008

Last NPPES UpdateJune 3, 2014

✔ NPI 1073790911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1000 VETERANS DR, Jackson, OH 45640

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Other Names 1

Doing Business AsJackson Area Family Practice & Pediatrics

Other Identifiers 2

Medicaid1475685OH

Medicare PINAD3601592OH

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0957375

Adena Health System Jackson Family Practice & Pediatrics · Jackson, OH

Active · expires Feb 18, 2027

CLIA Number36D0957375

Laboratory TypePhysician Office

Certificate Effective DateFebruary 19, 2025

Certificate Expiration DateFebruary 18, 2027

Laboratory DirectorMario C. Bautista

Laboratory Phone(740) 395-8146

Laboratory LocationAdena Health System Jackson Family Practice & Pediatrics1000 Veterans Dr 2nd Fl, Jackson, OH 45640

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. SUSAN MARIE LYKINS CNP

Nurse Practitioner (Family)