OrganizationActive
Avitas LLC
NPI 1043042054 · General Practice Physician · New Concord, OH
Provider details
- NPI number
- 1043042054
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dennis Eagleeye, President(740) 214-8998
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Practice location
172 S Friendship Dr Ste a
New Concord, OH 43762-9641
Phone: (740) 214-8998
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 894
Cambridge, OH 43725-0894
Other names (DBA / former)
- Doing business as
- Avitas
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2024-08-19
- Certified
- 2024-08-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.