Individual provider Active NPI

James Michael Oaks, DO

  • Psychiatry Physician
  • Newark, OH
National Provider Identifier
1083690382
Registry record updated Apr 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34007130 Issued in OH
Practice address
200 Messimer Drive
Newark, OH 43055
Phone
(740) 348-4870
Fax
(740) 348-4871
NPI assigned
Dec 19, 2005
Last updated
Apr 16, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychiatry Physician 2084F0202X 34.007130 OH
Psychiatry Physician 2084P0800X 34007130 OH Primary

Addresses

Primary practice location

200 Messimer Drive
Newark, OH 43055

Mailing address

455 Riley Ave
Worthington, OH 43085-3038
Phone (740) 348-4870

Other identifiers 1

IdentifierTypeStateIssuer
2183462MedicaidOH

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090112000771 OH Practitioner - Psychiatry 4880757129 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.007130OHMDForensic Psychiatry Physician
34007130OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Ohio Office of Budget and Management State Accounting Current Accepting new patients
Cambridge Developmental Center CurrentSince Jul 1, 2014 Accepting new patients
State of Ohio Office of Budget and Management State Accounting CurrentSince Jul 1, 2014 Accepting new patients
Licking Memorial Professional Corp. Past Accepting new patients

Locations

66737 Toland Dr
Cambridge, OH 43725
Phone (740) 439-1371

1601 W Broad St
Columbus, OH 43222
Phone (614) 272-0509

30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930

30 E Broad St
Rm 132
Columbus, OH 43215

1250 Vernonview Dr
Mount Vernon, OH 43050
Phone (740) 393-6200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523836800000",
    "number": "1083690382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 RILEY AVE",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853038",
            "telephone_number": "740-348-4870",
            "fax_number": "740-348-4871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MESSIMER DRIVE",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "43055",
            "telephone_number": "740-348-4870",
            "fax_number": "740-348-4871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKS",
        "first_name": "JAMES",
        "middle_name": "MICHAEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2018-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084F0202X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Forensic Psychiatry",
            "state": "OH",
            "license": "34.007130",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34007130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2183462",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.