Jack Laurence Birkenbeuel, MD, MBA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

57.252400 Issued in OH

Practice address

915 Olentangy River Rd Ste 4000
Columbus, OH 43212-3154

Phone

(614) 293-9215

Fax

(614) 293-1923

NPI assigned

Jun 23, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jamie.wohrer@osumc.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1235860891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 SISKIN AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432289007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLENTANGY RIVER RD STE 4000",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123154",
            "telephone_number": "614-293-9215",
            "fax_number": "614-293-1923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKENBEUEL",
        "first_name": "JACK",
        "middle_name": "LAURENCE",
        "credential": "MD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "57.252400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jamie.wohrer@osumc.edu",
            "affiliation": "N",
            "endpointDescription": "Residency Program Coordinator",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "915 Olentangy River Rd Ste 4000",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432123154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Susan G Birdwell
• Allison Michelle Bireley, MS, CCC-SLP
• Frank Birinyi, M.D.
• Anita M Birk, LPN
• Wendy Birkemeier, PHARMD, RPH
• Danette Renee Birkhimer, RN, MS, CNS, OCN
• Julia Birmingham, LSW
• Richard Eugene Birnie, RPH
• Jennifer Birnkrant, PH.D
• Victoria Biroschak

• Otolaryngology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Otolaryngology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.