Id Med Inc.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ID MED INC.

Practice address

2970 W Broad St
Columbus, OH 43204-2651

Phone

(614) 279-0808

Fax

(614) 279-6111

NPI assigned

Feb 8, 2007

Organization subpart

No

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

Authorized official

Name

Mark T Herbert, MD

Title

President

Phone

(614) 279-0808

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mark T. Herbert & James N. Parsons, M.D.'s, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1306986146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042651",
            "telephone_number": "614-279-0808",
            "fax_number": "614-279-6111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042651",
            "telephone_number": "614-279-0808",
            "fax_number": "614-279-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ID MED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "HERBERT",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-279-0808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2466595",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mark T. Herbert & James N. Parsons, M.D.'s, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ideal Medical Supply Inc

• Infectious Disease Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Infectious Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; 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.