Organization Active NPI

Beechwold Family Practice

  • Specialist
  • Columbus, OH
National Provider Identifier
1104925213
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BEECHWOLD FAMILY PRACTICE
Practice address
35 W Jeffrey PL
Columbus, OH 43214-2016
Phone
(614) 571-2939
NPI assigned
Sep 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Authorized official

Name
Dr. Susan Daab-Krzykowski, MD
Title
Owner
Phone
(614) 571-2939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

35 W Jeffrey PL
Columbus, OH 43214-2016

Mailing address

35 W Jeffrey PL
Columbus, OH 43214-2016
Phone (614) 571-2939

Other identifiers 1

IdentifierTypeStateIssuer
2540503MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517961600000",
    "number": "1104925213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W JEFFREY PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142016",
            "telephone_number": "614-571-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 W JEFFREY PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142016",
            "telephone_number": "614-571-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHWOLD FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2018-02-07",
        "status": "A",
        "authorized_official_last_name": "DAAB-KRZYKOWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-571-2939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2540503",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "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 Feb 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.