Active NPI
Richard A Edgin, MD
- Gastroenterology Physician
- Columbus, OH
National Provider Identifier
1477547719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 35062899
- Practice address
- 85 McNaughten Rd
Suite 320
Columbus, OH 43213-2174 - Phone
- (614) 754-5500
- Fax
- (614) 754-5501
- NPI assigned
- Sep 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 35062899 | OH | Primary |
Addresses
Primary practice location
85 McNaughten Rd
Suite 320
Columbus, OH 43213-2174
Mailing address
1236 Kenbrook Hills Dr
Columbus, OH 43220-4968
Phone (614) 745-4511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0341973 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Gastroenterology Group, Inc. | Gastroenterology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Gastroenterology Physician
- Columbus, OH
- NPI 1124197637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545264000000",
"number": "1477547719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1236 KENBROOK HILLS DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432204968",
"telephone_number": "614-745-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 MCNAUGHTEN RD",
"address_2": "SUITE 320",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432132174",
"telephone_number": "614-754-5500",
"fax_number": "614-754-5501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGIN",
"first_name": "RICHARD",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-01",
"last_updated": "2018-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "OH",
"license": "35062899",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0341973",
"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 Dec 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.