Organization Active NPI

Concertocare Medical Group of Arizona, P.C.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1154083574
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Oct 13, 2021

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.