Organization Active NPI

Columbus Allergy Physicians, Inc

  • Allergy & Immunology Physician
  • Columbus, OH
National Provider Identifier
1003098823
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35035513C Issued in OH
Legal business name
COLUMBUS ALLERGY PHYSICIANS, INC
Practice address
941 Chatham LN Ste 215
Columbus, OH 43221-2416
Phone
(614) 267-9263
Fax
(614) 267-2755
NPI assigned
Dec 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cheryl A Shoman
Title
Office Manager
Phone
(614) 267-9263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 35035513C OH Primary

Addresses

Primary practice location

941 Chatham LN Ste 215
Columbus, OH 43221-2416

Mailing address

941 Chatham LN Ste 215
Columbus, OH 43221-2416
Phone (614) 267-9263

Other identifiers 1

IdentifierTypeStateIssuer
0920730MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913001020 OH Part B Supplier - Clinic/Group Practice 4688607443 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

3555 Olentangy River Rd
Ste 3090
Columbus, OH 43214
Phone (614) 267-9263

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1003098823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 CHATHAM LN STE 215",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212416",
            "telephone_number": "614-267-9263",
            "fax_number": "614-267-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 CHATHAM LN STE 215",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212416",
            "telephone_number": "614-267-9263",
            "fax_number": "614-267-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS ALLERGY PHYSICIANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "SHOMAN",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-267-9263",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35035513C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0920730",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.