Active NPI
Carl E Sharp, DPM
- Podiatrist
- Worthington, OH
National Provider Identifier
1194769679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36001718S
- Practice address
- 37 E Wilson Bridge Rd
Worthington, OH 43085-2301 - Phone
- (614) 885-8895
- Fax
- (614) 785-6543
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36001718S | OH | Primary |
Addresses
Primary practice location
37 E Wilson Bridge Rd
Worthington, OH 43085-2301
Mailing address
37 E Wilson Bridge Rd
Worthington, OH 43085-2301
Phone (614) 885-8895
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2700517 | Other | OH | UNITED HEALTH CARE |
| 1752 | Other | OH | NATIONWIDE |
| P00154532 | Other | OH | RAILROAD MEDICARE |
| 0301864 | Medicaid | OH | |
| 000000339079 | Other | OH | ANTHEM |
| 4015783 | Other | OH | AETNA |
| 091504000008 | Other | OH | CENTRAL BENEFITS |
| 760725667028 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1718 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411603200000",
"number": "1194769679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 E WILSON BRIDGE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852301",
"telephone_number": "614-885-8895",
"fax_number": "614-785-6543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 E WILSON BRIDGE RD",
"city": "WORTHINGTON",
"state": "OH",
"postal_code": "430852301",
"telephone_number": "614-885-8895",
"fax_number": "614-785-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "CARL",
"middle_name": "E",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2014-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36001718S",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "2700517",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "1752",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00154532",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0301864",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000339079",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4015783",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CENTRAL BENEFITS",
"identifier": "091504000008",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "760725667028",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Worthington, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.