Healthcare Provider Details

I. General information

NPI: 1962829119
Provider Name (Legal Business Name): JOHN KALASKY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2014
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 MATTHEW ST
MARIETTA OH
45750-1635
US

IV. Provider business mailing address

6 HENDERSON CIR
WILLIAMSTOWN WV
26187-8343
US

V. Phone/Fax

Practice location:
  • Phone: 740-374-7000
  • Fax: 740-374-7701
Mailing address:
  • Phone: 303-335-5002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number34012860
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number34.012860
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number5101027288
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: