Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Muskingum University

Organization General Practice Physician · NPI 1568029205

Muskingum University is a General Practice Physician in New Concord, Ohio. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

163 Stormont St
New Concord, OH 43762-1118
Phone: (740) 826-8211
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1568029205
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Muskingum Sports Medicine; Muskingum Sports Medicine
NPI enumeratedMay 28, 2019
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415