Individual provider Active NPI

Austin Dumbaugh

  • Family Nurse Practitioner
  • Kenton, OH
National Provider Identifier
1124777115
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0030713 Issued in OH
Practice address
1211 E Columbus St
Kenton, OH 43326-1760
Phone
(419) 675-0668
NPI assigned
Mar 18, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0030713 OH Primary

Addresses

Primary practice location

1211 E Columbus St
Kenton, OH 43326-1760

Mailing address

1211 E Columbus St
Kenton, OH 43326-1760
Phone (419) 675-0668

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address austin.dumbaugh@lmpc.eclinicaldirectplus.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220409000294 OH Practitioner - Nurse Practitioner 2365838844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lima Memorial Professional Corporation 167 clinicians

Practice addresses (Care Compare)

1211 E Columbus St
Kenton, OH 43326-1760
Phone (419) 675-0668

Hospital & facility affiliations

  • Lima Memorial Health System Hospital, Lima, OH, CCN 360009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0030713OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Apr 18, 2022 Accepting new patients
Lima Memorial Professional Corporation Family CurrentSince Apr 18, 2022 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

520 W Lincoln Ave
Ste A
Ada, OH 45810
Phone (419) 634-2015

L3982
Columbus, OH 43260

1211 E Columbus St
Kenton, OH 43326
Phone (419) 675-0668

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

322 E Main St
Russells Point, OH 43348
Phone (937) 842-2318

Interoperability endpoints

  • Direct secure messaging: austin.dumbaugh@lmpc.eclinicaldirectplus.com

Organizations & group practices 5

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1124777115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261760",
            "telephone_number": "419-675-0668",
            "fax_number": "419-675-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 E COLUMBUS ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433261760",
            "telephone_number": "419-675-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMBAUGH",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0030713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "austin.dumbaugh@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "Direct Messaging Address",
            "address_1": "1211 E Columbus St",
            "city": "Kenton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433261760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.