Organization Active NPI

Pentagon Primary Care LLC

  • General Practice Physician
  • Columbus, OH
National Provider Identifier
1144417767
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
PENTAGON PRIMARY CARE LLC
Practice address
99 N Brice Rd
Suite 260
Columbus, OH 43213-6510
Phone
(614) 235-2326
Fax
(614) 235-5194
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Dr. Samir Arora, MD
Title
MD
Phone
(614) 235-2326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

99 N Brice Rd
Suite 260
Columbus, OH 43213-6510

Mailing address

99 N Brice Rd
Suite 260
Columbus, OH 43213-6510
Phone (614) 235-2326

National Provider Directory

National Provider Directory

Locations

99 N Brice Rd
Ste 260
Columbus, OH 43213
Phone (380) 219-3843

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1144417767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N BRICE RD",
            "address_2": "SUITE 260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136510",
            "telephone_number": "614-235-2326",
            "fax_number": "614-235-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N BRICE RD",
            "address_2": "SUITE 260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136510",
            "telephone_number": "614-235-2326",
            "fax_number": "614-235-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENTAGON PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "ARORA",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "614-235-2326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 5, 2007; 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.