Richard Matthew Janczak, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.048495 Issued in OH

Practice address

3154 Park St
Grove City, OH 43123-3222

Phone

(614) 875-0011

Fax

(614) 875-0736

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard M Janczak Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: richard.janczakmd.p21@direct.ahni.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• American Health Network of Ohio, LLC

  • Family Medicine Physician
  • Westerville, OH
  • NPI 1245279744
  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1194764373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3154 PARK ST",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233222",
            "telephone_number": "614-875-0011",
            "fax_number": "614-875-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 PARK ST",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233222",
            "telephone_number": "614-875-0011",
            "fax_number": "614-875-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANCZAK",
        "first_name": "RICHARD",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.048495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0587048",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "richard.janczakmd.p21@direct.ahni.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "3154 Park St",
            "city": "Grove City",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431233222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "JANCZAK",
            "middle_name": "M",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Fadia Jallaq
• Mohamed Jama
• Rebecca Lynn James
• Emily Lynn Jamieson, PA-C
• Heather Leigh Janasek, RPH
• Jasmine Janis, MSW, LISW-S, LICDC
• Jacob Jaros, DPT
• Madison A Jarrell
• Robert A. Jaskot, M.D.
• Meghan Jenkins

• Family Medicine Physician in Grove City, OH
• Providers in Grove City, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.