Active NPI
Ohio Gastroenteology Group, Inc.
- Gastroenterology Physician
- Columbus, OH
National Provider Identifier
1245309731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- OHIO GASTROENTEOLOGY GROUP, INC.
- Practice address
- 85 McNaughten Rd
Ste 320
Columbus, OH 43213-2174 - Phone
- (614) 754-5500
- Fax
- (614) 754-5501
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard A Edgin, MD
- Title
- Lab Director
- Phone
- (614) 754-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary |
Addresses
Primary practice location
85 McNaughten Rd
Ste 320
Columbus, OH 43213-2174
Mailing address
3400 Olentangy River Rd
Columbus, OH 43202-1523
Phone (614) 754-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0206235 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1124197637
O20040519000407
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1851460356
O20040519000407
National Provider Directory
National Provider DirectoryLocations
1025 Refugee Rd
Pickerington, OH 43147
Phone (614) 293-8617
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Pickerington, OH
- NPI 1821417239
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1093987257
-
- Gastroenterology Physician
- Pickerington, OH
- NPI 1932140696
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1558487330
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1720161854
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1962664722
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1023002714
-
- Certified Registered Nurse Anesthetist
- Columbus, OH
- NPI 1316909088
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1720160914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408060800000",
"number": "1245309731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 OLENTANGY RIVER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021523",
"telephone_number": "614-754-5500",
"fax_number": "614-457-9519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MCNAUGHTEN RD",
"address_2": "STE 320",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132174",
"telephone_number": "614-754-5500",
"fax_number": "614-754-5501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO GASTROENTEOLOGY GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2014-08-15",
"status": "A",
"authorized_official_last_name": "EDGIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "LAB DIRECTOR",
"authorized_official_telephone_number": "614-754-5500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0206235",
"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 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.