Organization Active NPI

Stuart R Schilling DPM Inc

Doing business as ABC Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Columbus, OH
National Provider Identifier
1467663021
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1533 Issued in OH
Legal business name
STUART R SCHILLING DPM INC
Doing business as
ABC Podiatry
Practice address
5969 E Broad St Ste 407
Columbus, OH 43213-1540
Phone
(614) 755-2290
Fax
(614) 755-6390
NPI assigned
May 25, 2007
Last updated
May 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Authorized official

Name
Richard Schilling, DPMNPI 1245238849
Title
Owner
Phone
(614) 755-2290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 1533 OH Primary

Addresses

Primary practice location

5969 E Broad St Ste 407
Columbus, OH 43213-1540

Mailing address

5969 E Broad St Ste 407
Columbus, OH 43213-1540
Phone (614) 755-2290

Other identifiers 1

IdentifierTypeStateIssuer
2618528MedicaidOH

Other names 1

  • ABC Podiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050809000965 OH Part B Supplier - Clinic/Group Practice 1658300777 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

5350 N High St
Columbus, OH 43214
Phone (614) 267-4917

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1467663021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST STE 407",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131540",
            "telephone_number": "614-755-2290",
            "fax_number": "614-755-6390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST STE 407",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131540",
            "telephone_number": "614-755-2290",
            "fax_number": "614-755-6390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART R SCHILLING DPM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "SCHILLING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-755-2290",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "1533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2618528",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Podiatry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ABC Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 14, 2021; 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.