MEDICARE: DR. MICHAEL JAY SOMPLE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	35046011S	OH
2	2085D0003X	Diagnostic Neuroimaging (Radiology) Physician	35046011	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000122287	OTHER	OH	ANTHEM PROVIDER NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	311597742	OTHER	OH	TAX ID

General Provider Information

NPI Number	:	1366434912
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAY SOMPLE M.D.

Provider Business Mailing Address
First Line	:	751 FOREST AVE
Second Line	:	SUITE 400
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2868
Country	:	US
Telephone Number	:	740-452-4053
Fax Number	:	740-452-4580

Provider Business Practice Location Address
First Line	:	751 FOREST AVE
Second Line	:	SUITE 400
City	:	ZANESVILLE
State	:	OH
Zip	:	43701-2868
Country	:	US
Telephone Number	:	740-452-4053
Fax Number	:	740-452-4580

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2005
Last Update Date	:	08/13/2008

Similar Medicare Providers

1467443721 — DAVID ALAN TREBB MD
Practice Location Address:

751 FOREST AVE , SUITE 401
ZANESVILLE, OH
43701-2868

Practice Phone: 740-454-8502
Practice Fax: 740-454-8641

1073599031 — DUANE P POOL MD
Practice Location Address:

751 FOREST AVE , STE 301
ZANESVILLE, OH
43701-2868

Practice Phone: 740-454-0804
Practice Fax: 740-450-3447

1609852672 — KEITH W BRANTLEY MD
Practice Location Address:

751 FOREST AVE , STE 301
ZANESVILLE, OH
43701-2868

Practice Phone: 740-454-0804
Practice Fax: 740-450-3447

1366428229 — DR. STEPHEN MINNIS M.D.
Practice Location Address:

751 FOREST AVE , SUITE 401
ZANESVILLE, OH
43701-2868

Practice Phone: 740-454-8502
Practice Fax: 740-454-8641

1184604001 — DR. ALI NIHAD AL-ASSAAD MD
Practice Location Address:

751 FOREST AVE , STE 300
ZANESVILLE, OH
43701-2868

Practice Phone: 740-454-0804
Practice Fax: 740-454-7171

1902843287 — GENESIS HEALTHCARE SYSTEM
Practice Location Address:

751 FOREST AVE
ZANESVILLE, OH
43701-2868

Practice Phone: 740-454-6970
Practice Fax: 740-452-9514

Directions to “ DR. MICHAEL JAY SOMPLE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.