NPIMap

Individual provider Active NPI

William F Emlich Jr., D.O.

  • Gastroenterology Physician
  • Columbus, OH
National Provider Identifier
1194764753
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34-004432 Issued in OH
Practice address
4930 W Broad St
Suite 4
Columbus, OH 43228-1696
Phone
(614) 870-1234
Fax
(614) 870-3199
NPI assigned
Jun 6, 2006
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-004432 OH
Gastroenterology Physician 207RG0100X 34-004432 OH Primary
Hepatology Physician 207RI0008X 34-004432 OH

Addresses

Primary practice location

4930 W Broad St
Suite 4
Columbus, OH 43228-1696

Mailing address

PO Box 12626
Columbus, OH 43212-0626
Phone (614) 870-1234

Other identifiers 1

IdentifierTypeStateIssuer
0735897MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070405000008 OH Practitioner - GastroenterologyPractitioner - General PracticePractitioner - Internal Medicine 5597799387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galion Community HospitalGroup PAC ID 5496737439, shared by 17 NPIs, 40 clinicians
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

269 Portland Way S
Galion, OH 44833-2312

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

715 Richland Mall
Ontario, OH 44906-3802
Phone (567) 307-7557

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy63
Upper gastrointestinal (GI) endoscopy for acid reflux68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4432OHMDClinical Psychologist
34-004432OHMDHepatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Medical Specialists, Inc. Internal Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wemlich41074@direct.osumc.edu

Organizations & group practices 3

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1194764753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12626",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432120626",
            "telephone_number": "614-870-1234",
            "fax_number": "614-870-3199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 W BROAD ST",
            "address_2": "SUITE 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281696",
            "telephone_number": "614-870-1234",
            "fax_number": "614-870-3199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMLICH",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-004432",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "34-004432",
            "primary": true
        },
        {
            "code": "207RI0008X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hepatology",
            "state": "OH",
            "license": "34-004432",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0735897",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.