Organization Active NPI

Michael G. Saribalas D.O.

  • Durable Medical Equipment & Medical Supplies
  • Columbus, OH
National Provider Identifier
1346690286
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
5858 Issued in OH
Legal business name
MICHAEL G. SARIBALAS D.O.
Practice address
4030 Easton Sta Ste 240
Columbus, OH 43219-7012
Phone
(614) 532-5232
Fax
(614) 532-5734
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Michael Saribalas, D.O.NPI 1164454211
Title
Doctor
Phone
(614) 745-8905

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5858 OH Primary

Addresses

Primary practice location

4030 Easton Sta Ste 240
Columbus, OH 43219-7012

Mailing address

4030 Easton Sta Ste 240
Columbus, OH 43219-7012
Phone (614) 532-5232

Other identifiers 1

IdentifierTypeStateIssuer
2149142MedicaidOH

Other names 1

  • Saribalas Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Michael G Saribalas DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4030 Easton Sta
Ste 240
Columbus, OH 43219
Phone (614) 532-5232

Practitioners & affiliated clinicians

Practitioners 1

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": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1346690286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 EASTON STA STE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197012",
            "telephone_number": "614-532-5232",
            "fax_number": "614-532-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 EASTON STA STE 240",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432197012",
            "telephone_number": "614-532-5232",
            "fax_number": "614-532-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. SARIBALAS D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "SARIBALAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "614-745-8905",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "5858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2149142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saribalas Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2016; 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.