Organization Active NPI

Grandview Family Practice Inc

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1215034434
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GRANDVIEW FAMILY PRACTICE INC
Practice address
1550 W 5TH Ave
Columbus, OH 43212-2495
Phone
(614) 488-7929
Fax
(614) 488-3201
NPI assigned
Sep 20, 2006
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
Dr. Charles B May, D.O.
Title
President of Corporation
Phone
(614) 488-7929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1550 W 5TH Ave
Columbus, OH 43212-2495

Mailing address

1550 W 5TH Ave
Columbus, OH 43212-2495
Phone (614) 488-7929

Other identifiers 1

IdentifierTypeStateIssuer
0913097MedicaidOH

National Provider Directory

National Provider Directory

Locations

2740 Airport Dr
Ste 200
Columbus, OH 43219

1550 W 5th Ave
Ste 100
Columbus, OH 43212
Phone (614) 488-7929

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215034434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122495",
            "telephone_number": "614-488-7929",
            "fax_number": "614-488-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 W 5TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122495",
            "telephone_number": "614-488-7929",
            "fax_number": "614-488-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDVIEW FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "614-488-7929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0913097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, 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.