Active NPI
Michael D Waite, MD
- Critical Care Medicine (Internal Medicine) Physician
- Columbus, OH
National Provider Identifier
1083607451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 35067189
- Practice address
- 3535 Olentangy River Rd
RMH 4 Tower ICU
Columbus, OH 43214-3908 - Phone
- (614) 566-4691
- Fax
- (614) 566-6854
- NPI assigned
- Aug 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 35067189 | OH | Primary |
Addresses
Primary practice location
3535 Olentangy River Rd
RMH 4 Tower ICU
Columbus, OH 43214-3908
Mailing address
PO Box 20452
Coa-Cred
Columbus, OH 43220-0452
Phone (614) 442-2406
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0987875 | Medicaid | OH | |
| WA4046881 | Other | OH | RR MEDICARE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mwaite21680@direct.ohiohealth.com | OhioHealth Physician Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067189 | OH | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641340800000",
"number": "1083607451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20452",
"address_2": "COA-CRED",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432200452",
"telephone_number": "614-442-2406",
"fax_number": "614-442-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 OLENTANGY RIVER RD",
"address_2": "RMH 4 TOWER ICU",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432143908",
"telephone_number": "614-566-4691",
"fax_number": "614-566-6854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAITE",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2022-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "OH",
"license": "35067189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0987875",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "WA4046881",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mwaite21680@direct.ohiohealth.com",
"affiliation": "Y",
"affiliationName": "OhioHealth Physician Group",
"address_1": "3535 Olentangy River Rd",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432143908",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.