Organization Active NPI

Health One Inc.

  • Pediatrics Physician
  • Grove City, OH
National Provider Identifier
1275981185
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0190773MedicaidOH

National Provider Directory

National Provider Directory

Locations

4079 Gantz Rd
Ste B
Grove City, OH 43123
Phone (614) 875-3444

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.