Thomas J Pedrick, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

35051913 Issued in OH

Practice address

3525 Olentangy River Rd
Columbus, OH 43214-3937

Phone

(614) 566-5000

Fax

(614) 566-6958

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Riverside Radiation Oncology Inc

  • Radiation Oncology Physician
  • Columbus, OH
  • NPI 1790721629
  Medicare reassignment NPD
• Central Ohio Urology Group, LLC

  • Urology Physician
  • Gahanna, OH
  • NPI 1396780466
  NPD (past)
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1083650519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182039",
            "address_2": "DEPT 086",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432182039",
            "telephone_number": "614-430-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-566-5000",
            "fax_number": "614-566-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRICK",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35051913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000118956",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0594156",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pediatric Sleep and Neuro Center
• Charles Allen Pedigo, RRT
• Kacie Pedon, LPCC
• Amanda M Pedrick, M.D.
• Jonathan Stewart Pedrick, M.D.
• Nicole Lanette Pee
• Allison Peebles, MD
• Cherita Pearl Peeks, LPN
• Nala Peele
• Peer Center Peers Enriching Each Others Recovery

• Radiation Oncology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Radiation Oncology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.