Active NPI
Health One Inc.
- Pediatrics Physician
- Grove City, OH
National Provider Identifier
1275981185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HEALTH ONE INC.
- Practice address
- 4079 Gantz Rd Ste B
Grove City, OH 43123-4913 - Phone
- (614) 875-3444
- Fax
- (614) 947-1324
- NPI assigned
- Jun 1, 2016
- Last updated
- Oct 7, 2022
- 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
- Eugene M Bomgardner
- Title
- Ceo
- Phone
- (614) 947-1320
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Pediatric Nurse Practitioner | 363LP0200X | |||
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
4079 Gantz Rd Ste B
Grove City, OH 43123-4913
Mailing address
PO Box 638
Johnstown, OH 43031-0638
Phone (614) 947-1320
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0190773 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
4079 Gantz Rd
Ste B
Grove City, OH 43123
Phone (614) 875-3444
Interoperability endpoints
- https://api.platform.athenahealth.com/2030/brand/3/csg/21/fhir/r4
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Grove City, OH
- NPI 1770077257
-
- Pediatric Nurse Practitioner
- Grove City, OH
- NPI 1043436322
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665100800000",
"number": "1275981185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 638",
"city": "JOHNSTOWN",
"state": "OH",
"postal_code": "430310638",
"telephone_number": "614-947-1320",
"fax_number": "614-594-3649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4079 GANTZ RD STE B",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431234913",
"telephone_number": "614-875-3444",
"fax_number": "614-947-1324"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH ONE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-01",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A",
"authorized_official_last_name": "BOMGARDNER",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-947-1320"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0190773",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grove City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.