NPIMap

Organization Active NPI

Grant/Riverside Medical Care Foundation, Inc

  • Acute Care Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1326399932
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA13750NP Issued in OH
Legal business name
GRANT/RIVERSIDE MEDICAL CARE FOUNDATION, INC
Practice address
111 S. Grant Ave
Columbus, OH 43215
Phone
(614) 566-9160
NPI assigned
Sep 21, 2012
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Chris Wilkins
Title
Ohmsf Credentialing Coordinator
Phone
(614) 544-6382

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 13750 OH
Acute Care Nurse Practitioner 363LA2100X COA13750NP OH Primary

Addresses

Primary practice location

111 S. Grant Ave
Columbus, OH 43215

Mailing address

5350 Frantz Rd.
Ste 250
Dublin, OH 43016
Phone (614) 544-6382

Other identifiers 1

IdentifierTypeStateIssuer
13750-NPOtherOHCERTIFICATE OF AUTHORITY

National Provider Directory

National Provider Directory
Tax ID family
Riverside Medical Educa8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5350 Frantz Rd
Ste 250
Dublin, OH 43016

NPI Registry JSON

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

{
    "created_epoch": "1348185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1326399932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 FRANTZ RD.",
            "address_2": "STE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "43016",
            "telephone_number": "614-544-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S. GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-566-9160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT/RIVERSIDE MEDICAL CARE FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-21",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "OHMSF CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "614-544-6382"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OH",
            "license": "13750",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA13750NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE OF AUTHORITY",
            "identifier": "13750-NP",
            "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 Oct 5, 2012; 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.