Individual provider Active NPI

Melissa Dawn Winterhalter, MD

  • Pediatrics Physician
  • Columbus, OH
National Provider Identifier
1316072820
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35089099 Issued in OH
Practice address
4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993
Phone
(614) 267-7878
Fax
(614) 267-7077
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35089099 OH Primary

Addresses

Primary practice location

4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993

Mailing address

4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993
Phone (614) 267-7878

Other identifiers 1

IdentifierTypeStateIssuer
2714209MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35089099OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Pediatrics CurrentSince Nov 17, 2019 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. PastSince Nov 17, 2019 Accepting new patients

Locations

4885 Olentangy River Rd
Ste 2-10
Columbus, OH 43214
Phone (614) 267-7878

700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411

Interoperability endpoints

  • Direct secure messaging: mwinterhalter19114@copcp.medicity.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573430400000",
    "number": "1316072820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 2-10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141993",
            "telephone_number": "614-267-7878",
            "fax_number": "614-267-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 2-10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141993",
            "telephone_number": "614-267-7878",
            "fax_number": "614-267-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTERHALTER",
        "first_name": "MELISSA",
        "middle_name": "DAWN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35089099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2714209",
            "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 Nov 11, 2019; 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.