NPIMap

Individual provider Active NPI

Deborah J. Woidtke, D.O.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1457339806
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34-007206 Issued in OH
Practice address
793 W State St
3 North 09
Columbus, OH 43222-1551
Phone
(614) 234-5000
NPI assigned
Jan 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34-007206 OH Primary

Addresses

Primary practice location

793 W State St
3 North 09
Columbus, OH 43222-1551

Mailing address

PO Box 951231
Cleveland, OH 44193-0011
Phone (440) 899-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041102001294 OH Practitioner - Internal Medicine 7719949627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio University, College of Osteopathic Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Inpatient Care Inc.Group PAC ID 3476586025, 28 clinicians

Practice addresses (Care Compare)

5300 N Meadows Dr
Grove City, OH 43123-2546
Phone (614) 234-4242

597 Executive Campus Dr
Westerville, OH 43082-8870
Phone (614) 663-4242

7911 Diley Rd
Canal Winchester, OH 43110-9653
Phone (614) 663-4242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-007206OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Inpatient Care Inc. Internal Medicine CurrentSince Jul 1, 2002 Accepting new patients
Mount Carmel Health System Internal Medicine CurrentSince Dec 15, 2015 Accepting new patients
Mount Carmel Health System CurrentSince Dec 15, 2015 Accepting new patients
Mount Carmel Health Past Accepting new patients
Mount Carmel Health Past Accepting new patients
Encompass Health Rehabilitation Hospital of Westerville, LLC Past Accepting new patients
Mount Carmel Health System Past Accepting new patients
Diley Ridge Medical Center Past Accepting new patients

Locations

793 W State St
#3N
Columbus, OH 43222
Phone (614) 234-4242

6150 E Broad St
Columbus, OH 43213
Phone (614) 546-4400

815 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 234-9822

5300 N Meadows Dr
Grove City, OH 43123
Phone (614) 234-4242

477 Cooper Rd
Ste 300
Westerville, OH 43081
Phone (614) 898-8808

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1457339806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951231",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930011",
            "telephone_number": "440-899-2100",
            "fax_number": "440-250-7327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "793 W STATE ST",
            "address_2": "3 NORTH 09",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221551",
            "telephone_number": "614-234-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOIDTKE",
        "first_name": "DEBORAH",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-05",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-007206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.