# COMMUNITY MEDICAL PRACTICES, LLC

> 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
- **Other names:** Knox Community Physician Practices
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851598155
- **Authorized official:** MR. MICHAEL AMBROSIANI (CFO)
- **Authorized official phone:** (740) 393-9000

## Contact information

- **Practice address:** 1330 COSHOCTON AVE, MOUNT VERNON, OH 43050
- **Practice address phone:** (740) 393-9000
- **Mailing address:** 1330 COSHOCTON AVE, MOUNT VERNON, OH 43050-1440
- **Mailing address phone:** (740) 393-9000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35.077162 | OH | — |
| 207R00000X | Internal Medicine Physician | 35.062118 | OH | — |
| 207V00000X | Obstetrics & Gynecology Physician | 35.071450 | OH | — |
| 207V00000X | Obstetrics & Gynecology Physician | 35.071692 | OH | — |
| 207V00000X | Obstetrics & Gynecology Physician | 35.084067 | OH | — |
| 207XX0005X | Sports Medicine (Orthopaedic Surgery) Physician | 35.070803 | OH | — |
| 207Y00000X | Otolaryngology Physician | 35.048273 | OH | — |
| 2080A0000X | Pediatric Adolescent Medicine Physician | 35.087092 | OH | Yes |
| 208600000X | Surgery Physician | 35.069402 | OH | — |
| 208600000X | Surgery Physician | 35.087474 | OH | — |
| 208800000X | Urology Physician | 35.037157 | OH | — |

## Other

- **Enumeration date:** 06/29/2007
- **Last updated:** 03/17/2008