Active NPI
Eileen M Maher, M.D.
- Pediatrics Physician
- Columbus, OH
National Provider Identifier
1144299017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35-050254
- Practice address
- 4775 Knightsbridge Blvd
Suite 207
Columbus, OH 43214-4313 - Phone
- (614) 442-5557
- Fax
- (614) 442-1070
- NPI assigned
- Mar 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35-050254 | OH | Primary |
Addresses
Primary practice location
4775 Knightsbridge Blvd
Suite 207
Columbus, OH 43214-4313
Mailing address
4775 Knightsbridge Blvd
Suite 207
Columbus, OH 43214-4313
Phone (614) 442-5557
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0700665 | Other | OH | BCMH |
| 4122370 | Other | OH | AETNA HMO |
| 0700665 | Medicaid | OH | |
| 4122370 | Other | OH | AETNA |
| 000000119315 | Other | ANTHEM | |
| 311268558030 | Other | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-050254 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olentangy Pediatrics, Inc. | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/6860/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214956800000",
"number": "1144299017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE 207",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144313",
"telephone_number": "614-442-5557",
"fax_number": "614-442-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4775 KNIGHTSBRIDGE BLVD",
"address_2": "SUITE 207",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144313",
"telephone_number": "614-442-5557",
"fax_number": "614-442-1070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHER",
"first_name": "EILEEN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-14",
"last_updated": "2008-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35-050254",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCMH",
"identifier": "0700665",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "4122370",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0700665",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4122370",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000119315",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "311268558030",
"state": null
}
],
"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 Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.