Active NPI
Denison Medical Group LLC
- Hospitalist Physician
- Dublin, OH
National Provider Identifier
1144650953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- DENISON MEDICAL GROUP LLC
- Practice address
- 3805 Emerald Pkwy
Dublin, OH 43016-3317 - Phone
- (614) 907-3065
- NPI assigned
- Nov 14, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elio Ventresca, M.D.
- Title
- President
- Phone
- (614) 907-3065
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 35-058803 | OH | |
| Hospitalist Physician | 208M00000X | OH | Primary |
Addresses
Primary practice location
3805 Emerald Pkwy
Dublin, OH 43016-3317
Mailing address
30 Pickett PL
New Albany, OH 43054-8415
Phone (614) 907-3065
Other practice location 1
1087 Dennison Ave
Columbus, OH 43201-3201
Phone (614) 907-3065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0097387 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1384387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682553600000",
"number": "1144650953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 PICKETT PL",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548415",
"telephone_number": "614-907-3065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3805 EMERALD PKWY",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430163317",
"telephone_number": "614-907-3065"
}
],
"practiceLocations": [
{
"address_1": "1087 Dennison Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432013201",
"country_code": "US",
"telephone_number": "614-907-3065",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DENISON MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-14",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A",
"authorized_official_last_name": "VENTRESCA",
"authorized_official_first_name": "ELIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-907-3065",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "OH",
"license": "35-058803",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0097387",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.