Active NPI
Charles M Fahrig, MD
- Internal Medicine Physician
- Columbus, OH
National Provider Identifier
1306856695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35056205
- Practice address
- 6001 E Broad St
Columbus, OH 43213-1502 - Phone
- (614) 235-2326
- Fax
- (614) 235-5194
- NPI assigned
- Aug 9, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35056205 | OH | Primary |
Addresses
Primary practice location
6001 E Broad St
Columbus, OH 43213-1502
Mailing address
PO Box 13149
Columbus, OH 43213-0149
Phone (614) 235-2326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0811956 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100928000779 | OH | Practitioner - Internal Medicine | 1759407786 | Practice locations: Columbus, OH; Canal Winchester, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Louis E Vassy MD Inc | Past | Accepting new patients | |
| Mount Carmel Health System | Past | Accepting new patients | |
| Central Ohio Thoracic & Cardiovascular Surgery | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- NPI 1982784534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306856695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13149",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432130149",
"telephone_number": "614-235-2326",
"fax_number": "614-235-5194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 E BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432131502",
"telephone_number": "614-235-2326",
"fax_number": "614-235-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAHRIG",
"first_name": "CHARLES",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35056205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0811956",
"state": "OH"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.