Gardlin Med Group Inc

Key facts

NPI

1194032011

Entity type

Organization (NPI type 2)

Primary specialty

General Practice Physician 208D00000X

License

35.066559 (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

Organization subpart

No

Authorized official

Name

Kenneth Cardlin

Title

Ceo

Phone

(614) 962-1705

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 20, 2010.

{
    "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": []
}

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