Organization Active NPI

Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
National Provider Identifier
1194705194
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC.
Practice address
655 Africa Rd
Westerville, OH 43082-9808
Phone
(614) 326-2672
Fax
(614) 326-2685
NPI assigned
Jan 18, 2006
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Donald P Deep, MD
Title
Ceo
Phone
(614) 326-2672

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X
Family Medicine Physician 207Q00000X
Sports Medicine (Family Medicine) Physician 207QS0010X
Internal Medicine Physician 207R00000X Primary
Cardiovascular Disease Physician 207RC0000X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Infectious Disease Physician 207RI0200X
Rheumatology Physician 207RR0500X
Pediatrics Physician 208000000X
Physical Medicine & Rehabilitation Physician 208100000X
Hospitalist Physician 208M00000X
Pain Medicine Physician 208VP0000X
Physical Therapist 225100000X
Physician Assistant 363A00000X
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X

Addresses

Primary practice location

655 Africa Rd
Westerville, OH 43082-9808

Mailing address

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 326-2672

Other identifiers 1

IdentifierTypeStateIssuer
2040428MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040114000204 OH Part B Supplier - Clinic/Group Practice 2769383785 Receives reassigned benefits from 714 practitioners

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations (25 of 94)

1264 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-6801

457 Shawnee Ln
Chillicothe, OH 45601
Phone (740) 672-2309

1080 Beecher Xing N
Ste B
Columbus, OH 43230

1120 Polaris Pkwy
Ste 110
Columbus, OH 43240
Phone (614) 797-0600

1120 Polaris Pkwy
Ste 1100
Columbus, OH 43240

1710 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 741-8285

2489 Stelzer Rd
Columbus, OH 43219
Phone (614) 473-1300

2600 Airport Dr
Columbus, OH 43219
Phone (614) 259-0910

2600 Airport Dr
#200
Columbus, OH 43219

3311 Tremont Rd
Ste 101
Columbus, OH 43221
Phone (614) 457-4806

3400 Olentangy River Rd
Ste 150
Columbus, OH 43202
Phone (614) 267-8371

3555 Olentangy River Rd
#3020
Columbus, OH 43214

3933 E Livingston Ave
Ste 101
Columbus, OH 43227

405 Butterfly Gardens Dr
Ste LB2
Columbus, OH 43215

4830 E Main St
Columbus, OH 43213

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

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

4885 Olentangy River Rd
Ste 1-10
Columbus, OH 43214
Phone (614) 268-6555

4885 Olentangy River Rd
Ste 1-50
Columbus, OH 43214
Phone (614) 451-9229

4885 Olentangy River Rd
Ste 2-10
Columbus, OH 43214
Phone (614) 267-7878

4885 Olentangy River Rd
Ste 2-50
Columbus, OH 43214
Phone (614) 451-1551

5151 Reed Rd
Ste 200A
Columbus, OH 43220
Phone (614) 706-0504

5151 Reed Rd
Ste 210A
Columbus, OH 43220

5202 Bethel Reed Park
Ste 100
Columbus, OH 43220
Phone (614) 447-9495

545 S 18th St
Ste TH4A
Columbus, OH 43205

Practitioners & affiliated clinicians

Practitioners 807

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.

View all 807

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1194705194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-326-2672",
            "fax_number": "614-326-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-326-2672",
            "fax_number": "614-326-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO PRIMARY CARE PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "DEEP",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-326-2672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2040428",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.