Organization Active NPI

Columbus Hernia Institute

  • Specialist
  • Dublin, OH
National Provider Identifier
1194801969
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
34007128 Issued in OH
Legal business name
COLUMBUS HERNIA INSTITUTE
Practice address
5005 Parkcenter Ave
Dublin, OH 43017-3582
Phone
(614) 256-8766
Fax
(614) 898-5563
NPI assigned
Oct 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bryan T Grischow, D.O.
Title
Owner
Phone
(614) 256-8766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 34007128 OH Primary

Addresses

Primary practice location

5005 Parkcenter Ave
Dublin, OH 43017-3582

Mailing address

5005 Parkcenter Ave
Dublin, OH 43017-3582
Phone (614) 256-8766

Other identifiers 1

IdentifierTypeStateIssuer
2120770MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194801969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 PARKCENTER AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173582",
            "telephone_number": "614-256-8766",
            "fax_number": "614-898-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 PARKCENTER AVE",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173582",
            "telephone_number": "614-256-8766",
            "fax_number": "614-898-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS HERNIA INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRISCHOW",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-256-8766",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "34007128",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2120770",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.