Organization Active NPI

Gardlin Med Group Inc

  • General Practice Physician
  • Columbus, OH
National Provider Identifier
1194032011
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
35.066559 Issued in OH
Legal business name
GARDLIN MED GROUP INC
Practice address
829 Bethel Rd
Ste 319
Columbus, OH 43214-1903
Phone
(614) 962-1705
NPI assigned
Sep 13, 2010
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Kenneth Cardlin
Title
Ceo
Phone
(614) 962-1705

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 35.066559 OH Primary

Addresses

Primary practice location

829 Bethel Rd
Ste 319
Columbus, OH 43214-1903

Mailing address

829 Bethel Rd
Ste 319
Columbus, OH 43214-1903

National Provider Directory

National Provider Directory

Locations

829 Bethel Rd
Columbus, OH 43214
Phone (614) 374-1638

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1194032011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 BETHEL RD",
            "address_2": "STE 319",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 BETHEL RD",
            "address_2": "STE 319",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141903",
            "telephone_number": "614-962-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDLIN MED GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "CARDLIN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-962-1705"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "35.066559",
            "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 20, 2010; 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.