Cep America - Ohio LLC
Organization Active NPI Emergency Medicine Physician · Westerville, OH
NPI 1477086346 · NPPES record last updated Apr 1, 2020
Key facts
- NPI
- 1477086346
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- CEP AMERICA - OHIO LLC
- Practice address
- 500 S Cleveland Ave
Westerville, OH 43081-8971 - Phone
- (614) 898-4000
- NPI assigned
- Apr 7, 2017
- Organization subpart
- No
Authorized official
- Name
- David Birdsall, MD
- Title
- President
- Phone
- (510) 350-2680
Other NPIs on the same Medicare enrollment 1
Practitioners 61
-
Joel D Ascher, MD
-
Kayleigh Michelle Fraley, FNP-C
-
Heather Healy, D.O.
-
Brent Mok, DO
-
Krista Kugajevsky Olson, M.D.
-
David Michael Painter, M.D.
-
Keith R Smith, MD
-
Amber R Walker, D.O.
-
Nastassija Hang-Fu, M.D.
-
Neagum Bharat Patel, M.D.
-
Ian Skinner, D.O.
-
Michael Slattery, MD
-
Amy Cohagan, DO
-
Kelsey Ann Diehl, NP-C
-
Nicole A Grant, D.O.
-
Paul Jesionek, MD
-
Danielle M. Jones, CNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170614001698 | OH | Part B Supplier - Clinic/Group Practice | 8426326554 |
Receives reassigned benefits from 60 practitioners 1 other NPI on this enrollment Practice locations: Lewis Center, OH; Westerville, OH |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
500 S Cleveland Ave
Westerville, OH 43081-8971
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2680
NPI Registry JSON
{
"created_epoch": "1491523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585699200000",
"number": "1477086346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-350-2680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S CLEVELAND AVE",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430818971",
"telephone_number": "614-898-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CEP AMERICA - OHIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-07",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-350-2680",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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All providers in Westerville, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.