NPIMap

Organization Active NPI

Columbus Obstetricians - Gynecologists, Inc.

  • Obstetrics & Gynecology Physician
  • Columbus, OH
National Provider Identifier
1407855323
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
CO9930601 Issued in OH
Legal business name
COLUMBUS OBSTETRICIANS - GYNECOLOGISTS, INC.
Practice address
750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553
Phone
(614) 434-2400
Fax
(614) 434-2499
NPI assigned
Jul 21, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mark Vanmeter, CPA
Title
Practice Manager
Phone
(614) 434-2444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X CO9930601 OH Primary

Addresses

Primary practice location

750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553

Mailing address

750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553
Phone (614) 434-2400

Other identifiers 1

IdentifierTypeStateIssuer
0165048MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040220000003 OH Part B Supplier - Clinic/Group Practice 5597666453 Receives reassigned benefits from 29 practitioners
Practice locations: Hilliard, OH; Powell, OH; Pickerington, OH; New Albany, OH; London, OH; Grove City, OH; Grandview, OH; Dublin, OH…

National Provider Directory

National Provider Directory
Tax ID family
Columbus Obstetricians - Gynecologists Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1250 N Court St
Circleville, OH 43113
Phone (614) 228-5451

1125 Yard St
#200
Columbus, OH 43212

5775 Perimeter Dr
Ste 220
Dublin, OH 43017

1125 Yard St
Ste 200
Grandview Heights, OH 43212
Phone (614) 434-2421

151 Clint Dr
Pickerington, OH 43147
Phone (614) 410-2494

1797 Hill Rd N
Unit 2
Pickerington, OH 43147

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407855323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS OBSTETRICIANS - GYNECOLOGISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VANMETER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "614-434-2444",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "CO9930601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165048",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.