NPIMap

Organization Active NPI

Michael G Saribalas DO PA

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Gahanna, OH
National Provider Identifier
1275720591
Registry record updated Oct 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
34005858 Issued in OH
Legal business name
MICHAEL G SARIBALAS DO PA
Practice address
4625 Morse Rd Ste 200
Gahanna, OH 43230-8355
Phone
(614) 475-6700
NPI assigned
Oct 1, 2007
Last updated
Oct 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2007

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

Authorized official

Name
Michael George Saribalas, DONPI 1164454211
Title
President
Phone
(614) 378-7533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084S0012X 34005858 OH Primary

Addresses

Primary practice location

4625 Morse Rd Ste 200
Gahanna, OH 43230-8355

Mailing address

20350 Erickson Path
Farmington, MN 55024-2018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071121000446 OH Part B Supplier - Clinic/Group Practice 6709974959 Receives reassigned benefits from 14 practitioners
Practice locations: Columbus, OH; Westerville, OH

National Provider Directory

National Provider Directory
Tax ID family
Michael G Saribalas DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

77 N State St
Westerville, OH 43081
Phone (614) 475-6700

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1275720591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20350 ERICKSON PATH",
            "city": "FARMINGTON",
            "state": "MN",
            "postal_code": "550242018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 MORSE RD STE 200",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308355",
            "telephone_number": "614-475-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G SARIBALAS DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "SARIBALAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-378-7533",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084S0012X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "OH",
            "license": "34005858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.

Verify at the official NPI Registry.