Individual provider Active NPI

Gregory Scott Lafontaine, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1265768675
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.002956 Issued in OH
Practice address
3062 Kingsdale Ctr
Columbus, OH 43221-2020
Phone
(614) 484-1940
Fax
(614) 484-1941
NPI assigned
Oct 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.002956 OH Primary

Addresses

Primary practice location

3062 Kingsdale Ctr
Columbus, OH 43221-2020

Mailing address

750 Mount Carmel Mall
Columbus, OH 43222-1553
Phone (614) 224-6420

Other practice location 1

2216 E Main St
Bexley, OH 43209-2319
Phone (614) 826-9266

Other practice location 2

2245 W Dublin Granville Rd Ste 101
Columbus, OH 43085-3336
Phone (614) 516-0184

Other practice location 3

750 Mount Carmel Mall
Columbus, OH 43222-1553
Phone (614) 224-6420

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091209000410 OH Practitioner - Physician Assistant 6002955754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arlington Urgent Care Inc.Group PAC ID 7214101237, 15 clinicians

Practice addresses (Care Compare)

2216 E Main St
Bexley, OH 43209-2319
Phone (614) 826-9266

2245 W Dublin Granville Rd
Suite 101
Columbus, OH 43085-3336

3062 Kingsdale Ctr
Columbus, OH 43221-2020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Urgent Care Inc CurrentSince Nov 1, 2016 Accepting new patients
Mobile Med Current Accepting new patients
Emergency Services, Inc. CurrentSince Jan 1, 2012 Accepting new patients
Arlington Urgent Care Inc CurrentSince Nov 1, 2016 Accepting new patients

Locations

6001 E Broad St
Columbus, OH 43213
Phone (614) 224-6420

2245 W Dublin Granville Rd
Ste 101
Columbus, OH 43085
Phone (614) 516-0184

2216 E Main St
Columbus, OH 43209
Phone (614) 826-9266

3062 Kingsdale Ctr
Upper Arlngtn, OH 43221
Phone (614) 484-1940

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24907/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1265768675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-224-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3062 KINGSDALE CTR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212020",
            "telephone_number": "614-484-1940",
            "fax_number": "614-484-1941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2216 E Main St",
            "address_purpose": "LOCATION",
            "city": "Bexley",
            "state": "OH",
            "postal_code": "432092319",
            "country_code": "US",
            "telephone_number": "614-826-9266",
            "fax_number": "614-826-9267",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2245 W Dublin Granville Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "430853336",
            "country_code": "US",
            "telephone_number": "614-516-0184",
            "fax_number": "614-516-0185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Mount Carmel Mall",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221553",
            "country_code": "US",
            "telephone_number": "614-224-6420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFONTAINE",
        "first_name": "GREGORY",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-20",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.002956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.