Individual
DR. PHILIP SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1210 ASHLAND AVE, ZANESVILLE, OH 43701-2806
(740) 454-8551
(740) 454-2411
Mailing address
860 BETHESDA DR, ZANESVILLE, OH 43701-1800
(740) 454-4651
(740) 454-4653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35054962S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000019195
ANTHEM PIN
OH
01
—
000000177547
UNISON PIN
OH
01
—
0493361
UHC PIN
OH
05
—
0665089
—
OH
01
—
0989499
GROUP MEDICAID
OH
01
—
CA1586
GROUP MEDICARE RAILROAD
—
Enumeration date
12/21/2005
Last updated
04/01/2008
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