Individual provider Active NPI

Cara A Whiteman, D.O.

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1467618637
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34.11225 Issued in OH
Practice address
100 E Campus View Blvd
Columbus, OH 43235-4647
Phone
(614) 340-7747
NPI assigned
Aug 6, 2008
Last updated
Jul 17, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101017733 MI
Diagnostic Radiology Physician 2085R0202X 34.11225 OH Primary

Addresses

Primary practice location

100 E Campus View Blvd
Columbus, OH 43235-4647

Mailing address

100 E Campus View Blvd
Columbus, OH 43235-4647

Other names 1

  • Cara A Heddaeus Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140626002149 OH Practitioner - Diagnostic Radiology 0749423432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Ohio University, College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

333 Carroll Rd
Athens, OH 45701-3300
Phone (614) 340-7740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101017733MIMDDiagnostic Radiology Physician
34.11225OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 13, 2017 Accepting new patients
JTDM Family Practice LLC Past Accepting new patients

Locations

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

12029 Sheraton Ln
Springdale, OH 45246
Phone (513) 874-8111

12037 Sheraton Ln
Springdale, OH 45246
Phone (513) 671-3320

1932 Niles Cortland Rd NE
Ste X
Warren, OH 44484
Phone (330) 306-5371

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

Interoperability endpoints

  • Direct secure messaging: cara.whiteman@mmhs.medicity.net

Organizations & group practices 3

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

Hospital & facility affiliations 2

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1467618637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354647",
            "telephone_number": "614-340-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEMAN",
        "first_name": "CARA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101017733",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34.11225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARA",
            "last_name": "HEDDAEUS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.