Active NPI
David A Garcia, DO
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1225097462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34-005111
- Practice address
- 1120 Polaris Pkwy
Suite 100
Columbus, OH 43240-4042 - Phone
- (614) 847-1120
- Fax
- (614) 847-1205
- NPI assigned
- Mar 17, 2006
- Last updated
- Mar 13, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34-005111 | OH | |
| Family Medicine Physician | 207Q00000X | 1369 | WV | |
| Family Medicine Physician | 207Q00000X | 2021043374 | MO | |
| Family Medicine Physician | 207Q00000X | OP61229563 | WA | |
| Family Medicine Physician | 207Q00000X | DO0000004884 | TN | |
| Family Medicine Physician | 207Q00000X | 20A15389 | CA | |
| Family Medicine Physician | 207Q00000X | OS8855 | FL | |
| Family Medicine Physician | 207Q00000X | 34-005111 | OH | Primary |
Addresses
Primary practice location
1120 Polaris Pkwy
Suite 100
Columbus, OH 43240-4042
Mailing address
PO Box 710725
Columbus, OH 43271-0725
Phone (440) 274-5035
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000209271 | Other | OH | ANTHEM |
| 311489015DG | Other | OH | SUMMACARE |
| 0833245 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 1, 2016 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5111 | OH | MD | Clinical Psychologist |
| 34-005111 | OH | MD | Emergency Medicine Physician |
| 20A15389 | CA | MD | Family Medicine Physician |
| OS8855 | FL | MD | Family Medicine Physician |
| 2021043374 | MO | MD | Family Medicine Physician |
| DO0000004884 | TN | MD | Family Medicine Physician |
| OP61229563 | WA | MD | Family Medicine Physician |
| 1369 | WV | MD | Internal Medicine Physician |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Columbus, OH
- NPI 1427027903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710288000000",
"number": "1225097462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 710725",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432710725",
"telephone_number": "440-274-5035",
"fax_number": "440-716-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 POLARIS PKWY",
"address_2": "SUITE 100",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432404042",
"telephone_number": "614-847-1120",
"fax_number": "614-847-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "DAVID",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-17",
"last_updated": "2024-03-13",
"certification_date": "2024-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34-005111",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1369",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2021043374",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61229563",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO0000004884",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A15389",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "OS8855",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34-005111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000209271",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUMMACARE",
"identifier": "311489015DG",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0833245",
"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 Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.