Organization Active NPI

Carolyn S Neltner MD Inc

  • Neurological Surgery Physician
  • Canal Winchester, OH
National Provider Identifier
1184979767
Registry record updated Jul 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35076314 Issued in OH
Legal business name
CAROLYN S NELTNER MD INC
Practice address
7901 Diley Rd
Suite 260
Canal Winchester, OH 43110-9612
Phone
(614) 834-6930
Fax
(614) 834-6875
NPI assigned
Jul 19, 2012
Last updated
Jul 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2012

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

Authorized official

Name
Carolyn S Neltner, MDNPI 1427055607
Title
Owner Physician
Phone
(614) 834-6930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 35076314 OH Primary

Addresses

Primary practice location

7901 Diley Rd
Suite 260
Canal Winchester, OH 43110-9612

Mailing address

7901 Diley Rd
Suite 260
Canal Winchester, OH 43110-9612
Phone (614) 834-6930

Other identifiers 1

IdentifierTypeStateIssuer
2139153MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1184979767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD",
            "address_2": "SUITE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109612",
            "telephone_number": "614-834-6930",
            "fax_number": "614-834-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 DILEY RD",
            "address_2": "SUITE 260",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431109612",
            "telephone_number": "614-834-6930",
            "fax_number": "614-834-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLYN S NELTNER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "NELTNER",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "614-834-6930",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35076314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2139153",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.