Active NPI
Christopher Carl Mizer, MS, ATC
- Athletic Trainer
- Gahanna, OH
National Provider Identifier
1295765394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT-554
- Practice address
- 920 N Hamilton Rd Ste 600
Gahanna, OH 43230-1757 - Phone
- (614) 366-5866
- Fax
- (614) 293-7540
- NPI assigned
- Jul 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT-554 | OH | Primary |
Addresses
Primary practice location
920 N Hamilton Rd Ste 600
Gahanna, OH 43230-1757
Mailing address
1739 Harrison Pond Dr
New Albany, OH 43054-8885
Phone (614) 855-3428
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT-554 | OH | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309132800000",
"number": "1295765394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1739 HARRISON POND DR",
"city": "NEW ALBANY",
"state": "OH",
"postal_code": "430548885",
"telephone_number": "614-855-3428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 N HAMILTON RD STE 600",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432301757",
"telephone_number": "614-366-5866",
"fax_number": "614-293-7540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIZER",
"first_name": "CHRISTOPHER",
"middle_name": "CARL",
"name_prefix": "Mr.",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2011-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "OH",
"license": "AT-554",
"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 Jun 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.