Organization Active NPI

Portman OB/GYN Assoc Inc

  • Gynecology Physician
  • Columbus, OH
National Provider Identifier
1295845410
Registry record updated Dec 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
35062718 Issued in OH
Legal business name
PORTMAN OB/GYN ASSOC INC
Practice address
99 N Brice Rd
Suite 120
Columbus, OH 43213-6510
Phone
(614) 864-7755
Fax
(614) 864-4928
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2013

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

Authorized official

Name
Dr. David J Portman, MD
Title
President
Phone
(614) 864-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 35062718 OH Primary

Addresses

Primary practice location

99 N Brice Rd
Suite 120
Columbus, OH 43213-6510

Mailing address

99 N Brice Rd
Suite 120
Columbus, OH 43213-6510
Phone (614) 864-7755

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1295845410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 N BRICE RD",
            "address_2": "SUITE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136510",
            "telephone_number": "614-864-7755",
            "fax_number": "614-864-4928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N BRICE RD",
            "address_2": "SUITE 120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432136510",
            "telephone_number": "614-864-7755",
            "fax_number": "614-864-4928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTMAN OB/GYN ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2013-12-17",
        "status": "A",
        "authorized_official_last_name": "PORTMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-864-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": "35062718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.