Individual provider Active NPI

Norman A Schwartz, MD

  • Family Medicine Physician
  • Pataskala, OH
National Provider Identifier
1255322335
Registry record updated Nov 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
350569245 Issued in OH
Practice address
621 Broad St SW
1E
Pataskala, OH 43062-8118
Phone
(740) 927-5060
Fax
(740) 927-5730
NPI assigned
Oct 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 350569245 OH Primary

Addresses

Primary practice location

621 Broad St SW
1E
Pataskala, OH 43062-8118

Mailing address

PO Box 164055
Columbus, OH 43216-4055
Phone (614) 252-2191

Other identifiers 2

IdentifierTypeStateIssuer
0760645MedicaidOH
080020764OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100726000153 OH Practitioner - Family Practice 4587796644 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holyhills Healthcare Services, LLCGroup PAC ID 8628354461, 7 clinicians

Practice addresses (Care Compare)

6760 Tussing Rd
Suite 104
Reynoldsburg, OH 43068-4136
Phone (614) 626-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
350569245OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Providers Networking LLC CurrentSince Nov 1, 2021 Accepting new patients
Professional Behavioral Support LLC CurrentSince Sep 10, 2023 Accepting new patients

Locations

691 E Dublin Granville Rd
Columbus, OH 43229
Phone (614) 574-1823

691 E Dublin Granville Rd
Ste A
Columbus, OH 43229
Phone (614) 715-2217

7602 Slate Ridge Blvd
Ste B
Reynoldsburg, OH 43068

Interoperability endpoints

  • Direct secure messaging: norman.schwartz.1@15909.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1255322335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164055",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432164055",
            "telephone_number": "614-252-2191",
            "fax_number": "614-252-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 BROAD ST SW",
            "address_2": "1E",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628118",
            "telephone_number": "740-927-5060",
            "fax_number": "740-927-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWARTZ",
        "first_name": "NORMAN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-28",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "350569245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0760645",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080020764",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pataskala, OH

Sources for this page

Verify at the official NPI Registry.