Individual provider Active NPI

Kathryn Anderson, DO

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1255990891
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.015959 Issued in OH
Practice address
5000 E Main St
Columbus, OH 43213-2440
Phone
(614) 235-5555
NPI assigned
Jun 7, 2019
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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 34.015959 OH Primary

Addresses

Primary practice location

5000 E Main St
Columbus, OH 43213-2440

Mailing address

5000 E Main St
Columbus, OH 43213-2440
Phone (614) 235-5555

Other practice location 1

2231 N High St
Columbus, OH 43201-1194
Phone (614) 293-2700

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
I20221021001366 OH Practitioner - Family Practice 8628306792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

24 Albion Rd
Suite 320
Lincoln, RI 02865-3706

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart of Ohio Family Health Centers CurrentSince Apr 25, 2024 Accepting new patients
Heart of Ohio Family Health Centers Current Accepting new patients
Heart of Ohio Family Health Centers CurrentSince Apr 25, 2024 Accepting new patients

Locations

3601 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 235-5555

2365 Innis Rd
Columbus, OH 43224
Phone (614) 235-5555

495 Cooper Rd
Ste 420
Westerville, OH 43081
Phone (614) 235-5555

5000 E Main St
Whitehall, OH 43213
Phone (614) 235-5555

675 S Yearling Rd
Ste 100
Whitehall, OH 43213
Phone (614) 235-5555

Interoperability endpoints

  • Direct secure messaging: kanderson701965@direct.osumc.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1255990891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132440",
            "telephone_number": "614-235-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132440",
            "telephone_number": "614-235-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2231 N High St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432011194",
            "country_code": "US",
            "telephone_number": "614-293-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KATHRYN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.