NPIMap

Organization Active NPI

4 Sig, LLC

  • Anesthesiology Physician
  • Westerville, OH
National Provider Identifier
1194136440
Registry record updated May 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
34007181 Issued in OH
Legal business name
4 SIG, LLC
Practice address
955 Eastwind Dr
Westerville, OH 43081-3376
Phone
(614) 918-4003
NPI assigned
May 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2014

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

Authorized official

Name
Thomas Brady, DO
Title
Practicing Partner
Phone
(614) 918-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 34007181 OH Primary

Addresses

Primary practice location

955 Eastwind Dr
Westerville, OH 43081-3376

Mailing address

5195 Hampsted Village Center Way
Ste 60
New Albany, OH 43054-8331
Phone (614) 918-4003

Other names 1

  • MidOhioDetox Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1399507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399507200000",
    "number": "1194136440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5195 HAMPSTED VILLAGE CENTER WAY",
            "address_2": "STE 60",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430548331",
            "telephone_number": "614-918-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 EASTWIND DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430813376",
            "telephone_number": "614-918-4003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4 SIG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-08",
        "last_updated": "2014-05-08",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRACTICING PARTNER",
        "authorized_official_telephone_number": "614-918-4003",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "34007181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MidOhioDetox",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2014; 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.