Individual provider Active NPI

Elizabeth A Weinstock, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1154402469
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35071127W Issued in OH
Practice address
4845 Knightsbridge Blvd
Suite 220
Columbus, OH 43214-2463
Phone
(614) 299-5838
Fax
(614) 299-5929
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35071127W OH Primary

Addresses

Primary practice location

4845 Knightsbridge Blvd
Suite 220
Columbus, OH 43214-2463

Mailing address

4845 Knightsbridge Blvd
Suite 220
Columbus, OH 43214-2463
Phone (614) 299-5838

Other practice location 1

1033 N High St
Columbus, OH 43201-2409
Phone (614) 340-6777

Other practice location 2

750 E Long St
Columbus, OH 43203-1846
Phone (614) 340-6700

Other identifiers 1

IdentifierTypeStateIssuer
2051621MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000263 OH Practitioner - Family Practice 3274566484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Equitas Health,IncGroup PAC ID 2769638154, 37 clinicians

Practice addresses (Care Compare)

1033 N High St
Columbus, OH 43201-2409
Phone (614) 340-6777

750 E Long St
Columbus, OH 43203-1846
Phone (614) 340-6700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35071127WOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Equitas Health, Inc CurrentSince Apr 1, 2016 Accepting new patients
Equitas Health,Inc CurrentSince Apr 1, 2016 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Comprehensive Pre-Operative Consultants, LLC Family Medicine Past Accepting new patients

Locations

L3842
Columbus, OH 43260

1033 N High St
Columbus, OH 43201
Phone (614) 340-6776

1222 S Patterson Blvd
Ste 230
Dayton, OH 45402
Phone (937) 223-5350

Interoperability endpoints

  • Direct secure messaging: eweinstock246192@direct.ochin.org

Organizations & group practices 4

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1154402469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4845 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142463",
            "telephone_number": "614-299-5838",
            "fax_number": "614-299-5929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE 220",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142463",
            "telephone_number": "614-299-5838",
            "fax_number": "614-299-5929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1033 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012409",
            "country_code": "US",
            "telephone_number": "614-340-6777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 E Long St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432031846",
            "country_code": "US",
            "telephone_number": "614-340-6700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEINSTOCK",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071127W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2051621",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.