NPIMap

Individual provider Active NPI

John N. Larrimer, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Reynoldsburg, OH
National Provider Identifier
1073565354
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
35-03-4948 Issued in OH
Practice address
6490 E Main St
Suite B
Reynoldsburg, OH 43068-2394
Phone
(614) 367-0675
Fax
(614) 367-9744
NPI assigned
May 16, 2006
Last updated
Sep 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35-03-4948 OH Primary

Addresses

Primary practice location

6490 E Main St
Suite B
Reynoldsburg, OH 43068-2394

Mailing address

200 Bradenton Ave
Dublin, OH 43017-7515
Phone (614) 793-1980

Other identifiers 1

IdentifierTypeStateIssuer
0304094MedicaidOH

Other names 1

  • John N Larrimer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100326000120 OH Practitioner - Endocrinology 2163406240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Ohio State University College of Medicine, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6490 E Main St
Suite B
Reynoldsburg, OH 43068-2394
Phone (614) 367-0675

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
John N. Larrimer, M.D., LLC Endocrinology, Diabetes & Metabolism CurrentSince Jun 1, 2002 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

200 Bradenton Ave
Dublin, OH 43017
Phone (614) 793-1080

6490 E Main St
Ste B
Reynoldsburg, OH 43068
Phone (614) 367-0675

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1073565354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRADENTON AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430177515",
            "telephone_number": "614-793-1980",
            "fax_number": "614-793-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6490 E MAIN ST",
            "address_2": "SUITE B",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430682394",
            "telephone_number": "614-367-0675",
            "fax_number": "614-367-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARRIMER",
        "first_name": "JOHN",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35-03-4948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0304094",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "LARRIMER",
            "middle_name": "N",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.