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MUSKINGUM SPORTS MEDICINE
NPI 1568029205
General Practice in New Concord, OH

Active since May 28, 2019
163 STORMONT ST, NEW CONCORD, OH 43762(740) 826-8211 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2021, Sep 7, 2021, May 28, 2019 (3 updates tracked since 2019).

About Muskingum Sports Medicine NPPES

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

MUSKINGUM SPORTS MEDICINE (NPI 1568029205) is a healthcare organization registered as a general practice in New Concord, Ohio and active in the NPI registry since May 2019. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1568029205
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMUSKINGUM UNIVERSITY
Location Address163 STORMONT STNew Concord, OH 43762-1118
Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415 · (972) 367-4845
Phone(740) 826-8211
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845
Enumeration DateMay 28, 2019
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1568029205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
163 STORMONT ST, New Concord, OH 43762
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Other Names 1

Doing Business AsMuskingum Sports Medicine

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 4

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

JAILENE ERICKA OLDS ATC
Specialist/Technologist (Athletic Trainer)
163 STORMONT ST
NEW CONCORD, OH 43762
Muskingum County (740) 826-8211
KRISTEN RUSSELL
Specialist/Technologist (Athletic Trainer)
163 STORMONT ST
NEW CONCORD, OH 43762
Muskingum County (740) 826-8211
ALICIA HURPS
Specialist/Technologist (Athletic Trainer)
163 STORMONT ST
NEW CONCORD, OH 43762
Muskingum County (740) 826-8237
KENNETH BLOOD ATC
Specialist/Technologist (Athletic Trainer)
163 STORMONT ST
NEW CONCORD, OH 43762
Muskingum County (740) 826-8327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Muskingum University's NPI number?

The NPI number for Muskingum University is 1568029205. It was assigned to this organization in the NPPES registry on May 28, 2019. The provider is doing business as Muskingum Sports Medicine.

Where is Muskingum University located?

Muskingum University is located at 163 Stormont St, New Concord, OH 43762. The listed phone number is (740) 826-8211.

What is Muskingum University's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

What insurance does Muskingum University accept?

Health plans from Anthem Blue Cross and Blue Shield list Muskingum University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Muskingum University was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.