Central Ohio Pediatric Endocrinology & Diabetes Serv LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC

Practice address

55 Dillmont Dr
Suite 100
Columbus, OH 43235-6458

Phone

(614) 839-3040

Fax

(614) 839-3041

NPI assigned

Feb 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William Byron Zipf, MD

Title

Medical Director

Phone

(614) 839-3040

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keirsten Michelle Welch, RD, LD, CDE

  • Registered Dietitian
  • Lewis Center, OH
  • NPI 1659531424
  NPD (past)

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1194965699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 DILLMONT DR",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432356458",
            "telephone_number": "614-839-3040",
            "fax_number": "614-839-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 DILLMONT DR",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432356458",
            "telephone_number": "614-839-3040",
            "fax_number": "614-839-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-24",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "ZIPF",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "614-839-3040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL",
            "identifier": "Z10493253",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A79972",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0373760",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044488",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "CE9314531",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "E21314",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.

Verify at the official NPI Registry.