AVITAS LLC NPI 1043042054

NPI Information

  • NPI: 1043042054
  • Provider Name: AVITAS LLC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 172 S FRIENDSHIP DR STE A
    NEW CONCORD, OH
    ZIP 43762
  • Phone: (740) 214-8998

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NPI Details

AVITAS LLC is a general practice in New Concord, OH. The provider is 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 AVITAS LLC NPI is 1043042054. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

172 S FRIENDSHIP DR STE A
NEW CONCORD, OH
ZIP 43762-641
Phone: (740) 214-8998

The provider's authorized official is Dennis Eagleeye .
The authorized official title is President and has the following contact phone number (740) 214-8998.

The enumeration date for this NPI number is 8/19/2024 and was last updated on 8/19/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0204XRadiologyVascular & Interventional RadiologyNo
2208D00000XGeneral PracticeYes
3208VP0014XPain MedicineInterventional Pain MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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