Individual provider Active NPI

Carla Marie Ralston, MD

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1477718328
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
57.014577 Issued in OH
Practice address
1654 Upham Dr
167 Means Hall
Columbus, OH 43210-1250
Phone
(614) 293-3551
Fax
(614) 293-3124
NPI assigned
Jul 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 57.014577 OH Primary

Addresses

Primary practice location

1654 Upham Dr
167 Means Hall
Columbus, OH 43210-1250

Mailing address

1654 Upham Dr
167 Means Hall
Columbus, OH 43210-1250
Phone (614) 293-3551

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
I20110825000688 OH Practitioner - Emergency Medicine 4082884291 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Indiana University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Emergency Physicians LLCGroup PAC ID 6406905736, 38 clinicians

Practice addresses (Care Compare)

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

48439 Genesis Dr
Suite a
Coshocton, OH 43812-3205
Phone (740) 454-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.014577OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Group, LLC CurrentSince Jan 20, 2021 Accepting new patients
Genesis Emergency Physicians LLC Emergency Medicine CurrentSince Nov 4, 2012 Accepting new patients
Genesis Medical Group LLC CurrentSince Jan 20, 2021 Accepting new patients
Emergency Medicine Physicians of Franklin County, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Champaign County LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Lake Medina, LTD Emergency Medicine PastSince Sep 18, 2012 Accepting new patients

Locations

48439 Genesis Dr
Ste A
Coshocton, OH 43812
Phone (740) 454-4000

301 Mike Clouse Dr
Somerset, OH 43783
Phone (740) 654-6213

2951 Maple Ave
Zanesville, OH 43701
Phone (740) 454-4000

945 Bethesda Dr
Ste 330
Zanesville, OH 43701
Phone (740) 454-4038

840 Bethesda Dr
Bldg 2C
Zanesville, OH 43701
Phone (740) 297-8612

Organizations & group practices 6

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 4

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1477718328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1654 UPHAM DR",
            "address_2": "167 MEANS HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101250",
            "telephone_number": "614-293-3551",
            "fax_number": "614-293-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1654 UPHAM DR",
            "address_2": "167 MEANS HALL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101250",
            "telephone_number": "614-293-3551",
            "fax_number": "614-293-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "CARLA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "57.014577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.