Organization Active NPI

Capitol City Cardiology, Inc.

  • Cardiovascular Disease Physician
  • Pickerington, OH
National Provider Identifier
1356565402
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CAPITOL CITY CARDIOLOGY, INC.
Practice address
417 Hill Rd N
Ste 801
Pickerington, OH 43147-1157
Phone
(614) 920-3410
Fax
(614) 920-3413
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Mr. Tim Hill
Title
Practice Administrator
Phone
(614) 280-3916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X OH Primary

Addresses

Primary practice location

417 Hill Rd N
Ste 801
Pickerington, OH 43147-1157

Mailing address

423 E Town St
Columbus, OH 43215-4748
Phone (614) 280-3916

Other identifiers 1

IdentifierTypeStateIssuer
2240195MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1356565402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 E TOWN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154748",
            "telephone_number": "614-280-3916",
            "fax_number": "614-722-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HILL RD N",
            "address_2": "STE 801",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471157",
            "telephone_number": "614-920-3410",
            "fax_number": "614-920-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITOL CITY CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-280-3916",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2240195",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.