Active NPI
Concertocare Medical Group of Arizona, P.C.
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1154083574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CONCERTOCARE MEDICAL GROUP OF ARIZONA, P.C.
- Practice address
- 215 Fenway Road
Columbus, OH 43214-1409 - Phone
- (877) 597-1440
- NPI assigned
- Oct 13, 2021
- 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
- Jeffrey Lynn Hunter, D.O.
- Title
- President
- Phone
- (313) 969-4746
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
215 Fenway Road
Columbus, OH 43214-1409
Mailing address
21750 Hardy Oak Blvd
Suite 104, PMB 72961
San Antonio, TX 78258-4946
Phone (877) 597-1440
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634083200000",
"number": "1154083574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21750 HARDY OAK BLVD",
"address_2": "SUITE 104, PMB 72961",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782584946",
"telephone_number": "877-597-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 FENWAY ROAD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141409",
"telephone_number": "877-597-1440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCERTOCARE MEDICAL GROUP OF ARIZONA, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-13",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "313-969-4746",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"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 Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.