Individual provider Active NPI

David Prescott

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1285675868
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.047519 Issued in OH
Practice address
355 E Campus View Blvd
Ste 180
Columbus, OH 43235-5616
Phone
(614) 840-1688
Fax
(614) 840-1689
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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 35.047519 OH Primary

Addresses

Primary practice location

355 E Campus View Blvd
Ste 180
Columbus, OH 43235-5616

Mailing address

355 E Campus View Blvd
Ste 180
Columbus, OH 43235-5616
Phone (614) 840-1688

Other identifiers 1

IdentifierTypeStateIssuer
0537940MedicaidOH

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
I20051002000006 OH Practitioner - Family Practice 7719912443 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC Family Medicine CurrentSince Jan 9, 2017 Accepting new patients
Vpa PC Family Medicine CurrentSince Jan 9, 2017 Accepting new patients
Vpa PC Family Medicine Current Accepting new patients
Vpa PC Family Medicine Current Accepting new patients

Locations

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

355 E Campus View Blvd
Ste 180
Columbus, OH 43235
Phone (614) 523-2155

7206 Market St
Ste A
Youngstown, OH 44512
Phone (330) 726-3379

Organizations & group practices 4

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1285675868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E CAMPUS VIEW BLVD",
            "address_2": "STE 180",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355616",
            "telephone_number": "614-840-1688",
            "fax_number": "614-840-1689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E CAMPUS VIEW BLVD",
            "address_2": "STE 180",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355616",
            "telephone_number": "614-840-1688",
            "fax_number": "614-840-1689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESCOTT",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.047519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0537940",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.