# HOCKING VALLEY MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801994827
- **Authorized official:** KIMBERLY BROWN (CREDENTIALING SPECIALIST)
- **Authorized official phone:** (740) 380-8350

## Contact information

- **Practice address:** 601 STATE ROUTE 664 N, LOGAN, OH 43138-8541
- **Practice address phone:** (740) 380-8140
- **Practice address fax:** (740) 380-8150
- **Mailing address:** PO BOX 228, LOGAN, OH 43138-0228
- **Mailing address phone:** (740) 385-7564
- **Mailing address fax:** (740) 385-7566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | OH | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | OH | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | — | OH | — |
| 208000000X | Pediatrics Physician | — | OH | — |
| 2084P0800X | Psychiatry Physician | — | OH | — |
| 208600000X | Surgery Physician | — | OH | — |
| 208D00000X | General Practice Physician | — | OH | — |
| 363A00000X | Physician Assistant | — | OH | — |
| 363AS0400X | Surgical Physician Assistant | — | OH | — |
| 363L00000X | Nurse Practitioner | — | OH | — |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 08/20/2025