Individual provider Active NPI

Nicholas C Varveris, D.P.M.

  • Podiatrist
  • Hilliard, OH
National Provider Identifier
1073671376
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002083 Issued in OH
Practice address
4975 Cemetery Rd.
Hilliard, OH 43026-1641
Phone
(614) 771-1107
Fax
(614) 771-0429
NPI assigned
Dec 5, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002083 OH Primary

Addresses

Primary practice location

4975 Cemetery Rd.
Hilliard, OH 43026-1641

Mailing address

4975 Cemetery Rd.
Hilliard, OH 43026-1641
Phone (614) 771-1107

Other identifiers 1

IdentifierTypeStateIssuer
0489805MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080527000598 OH Practitioner - Podiatry 7315016789 Practice locations: Hilliard, OH

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002083OHMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1073671376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 CEMETERY RD.",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261641",
            "telephone_number": "614-771-1107",
            "fax_number": "614-771-0429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 CEMETERY RD.",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261641",
            "telephone_number": "614-771-1107",
            "fax_number": "614-771-0429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARVERIS",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0489805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.