NPIMap

John Fulton Hedge, D.O.

Individual provider Active NPI Family Medicine Physician · Columbus, OH

NPI 1104029917 · NPPES record last updated Jan 25, 2022

Key facts

NPI
1104029917
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
34008458 (OH)
Practice address
3705 Olentangy River Rd
Ste 260
Columbus, OH 43214-3467
Phone
(614) 533-6600
Fax
(614) 533-6609
NPI assigned
Jun 8, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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

Medicare Care Compare profile

Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohiohealth Corporation (2,295 clinicians)

Practice addresses (Care Compare)

3705 Olentangy River Rd
Suite 260
Columbus, OH 43214-3467
Phone (614) 586-1220

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital · Columbus, OH · CCN 360006
  • Ohio State University State Health System Hospital · Columbus, OH · CCN 360085
  • Grant Medical Center Hospital · Columbus, OH · CCN 360017
  • Dublin Methodist Hospital Hospital · Dublin, OH · CCN 360348
  • Grady Memorial Hospital Hospital · Delaware, OH · CCN 360210

Merit-based Incentive Payment System (MIPS)

Final score
80.04 of 100 (group)
Quality
58.67
Promoting interoperability
98
Improvement activities
40
Cost
76.46

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20130827001000 OH Practitioner - Family Practice 7719073600 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34008458OHMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Physician Network LLC Family Medicine Past Accepting new patients
Piedmont Family Practice at Tega Cay, LLC Family Medicine Past Accepting new patients
Piedmont Urgent Care Center at Baxter Village LLC Past Accepting new patients
Piedmont East Urgent Care Center LLC Past
since Sep 3, 2013		 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14929/brand/3/csg/1/fhir/r4

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1088 SC
Family Medicine Physician 207Q00000X 200600893 NC
Sports Medicine (Family Medicine) Physician 207QS0010X 34008458 OH
Sports Medicine (Family Medicine) Physician 207QS0010X 1088 SC
Sports Medicine (Family Medicine) Physician 207QS0010X 200600893 NC
Family Medicine Physician 207Q00000X 34008458 OH Yes

Addresses

Primary practice location

3705 Olentangy River Rd
Ste 260
Columbus, OH 43214-3467

Mailing address

5450 Frantz Rd
250
Dublin, OH 43016-4134

Other identifiers

IdentifierTypeStateIssuer
5916171MedicaidNC
010883MedicaidSC
P00436180OtherSCRAILROAD MEDICARE PTAN
PENDINGMedicaidOH
1088OtherSCMEDICAL LICENSE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jhedge32164@direct.ohiohealth.com OhioHealth Physician Group

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 25, 2022.

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1104029917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 FRANTZ RD",
            "address_2": "250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLENTANGY RIVER RD",
            "address_2": "STE 260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143467",
            "telephone_number": "614-533-6600",
            "fax_number": "614-533-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGE",
        "first_name": "JOHN",
        "middle_name": "FULTON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "1088",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200600893",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34008458",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "SC",
            "license": "1088",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "NC",
            "license": "200600893",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34008458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916171",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010883",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00436180",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "1088",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhedge32164@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "3705 Olentangy River Rd",
            "address_2": "Ste 260",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

All providers in Columbus, OH · Family Medicine Physician in Ohio

Sources for this page

Verify at the official NPI Registry.