Organization Active NPI

Knightsbridge Internal Medicine & Cardiology, Inc.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1437272127
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
KNIGHTSBRIDGE INTERNAL MEDICINE & CARDIOLOGY, INC.
Practice address
4830 Knightsbridge Blvd
Suite a
Columbus, OH 43214-2300
Phone
(614) 541-2174
Fax
(614) 451-1742
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lisa Rickels
Title
Practice Manager
Phone
(614) 451-2174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X OH Primary

Addresses

Primary practice location

4830 Knightsbridge Blvd
Suite a
Columbus, OH 43214-2300

Mailing address

4830 Knightsbridge Blvd
Suite a
Columbus, OH 43214-2300
Phone (614) 451-2174

Other identifiers 1

IdentifierTypeStateIssuer
0922274MedicaidOH

National Provider Directory

National Provider Directory

Locations

4830 Knightsbridge Blvd
Ste A
Columbus, OH 43214
Phone (614) 451-2174

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437272127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-451-2174",
            "fax_number": "614-451-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-541-2174",
            "fax_number": "614-451-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNIGHTSBRIDGE INTERNAL MEDICINE & CARDIOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RICKELS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "614-451-2174"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0922274",
            "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 Jul 21, 2022; 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.