Whitehall Medical Center Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

WHITEHALL MEDICAL CENTER INC

Practice address

4254 East Main Street
Columbus, OH 43213

Phone

(614) 235-9944

Fax

(614) 235-9344

NPI assigned

Feb 9, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Elmer F Diltz Jr., DONPI 1104877042

Title

Owner

Phone

(614) 235-9944

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elmer F Diltz Jr., DO

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1104877042
  Medicare reassignment Care Compare group NPD Authorized official
• Marcus Eugene Russell, FNP-C

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1851137400

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Shauna Lynn Marlowe, FNP-BC

  • Family Nurse Practitioner
  • Bullhead City, AZ
  • NPI 1588202048

  OH

  Medicare reassignment Care Compare group NPD
• Jenice Renee Brown I, APRN-CNP

  • Nurse Practitioner
  • Columbus, OH
  • NPI 1437601341
  Medicare reassignment NPD
• Lisa Cline

  • Nurse Practitioner
  • Pickerington, OH
  • NPI 1467866814
  Medicare reassignment NPD
• Sara Jo Doran, CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1043705387
  Medicare reassignment NPD
• Emily Louise Pisut, CNP

  • Adult Health Nurse Practitioner
  • Columbus, OH
  • NPI 1467702332
  NPD

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354752000000",
    "number": "1487795795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 EAST MAIN STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-235-9944",
            "fax_number": "614-235-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 EAST MAIN STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-235-9944",
            "fax_number": "614-235-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHALL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2012-12-06",
        "status": "A",
        "authorized_official_last_name": "DILTZ",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-235-9944",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198647",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Lee White, MD
• Tammy Michele Whitehair, RN
• Whitehall Animal Hospital, NMRK, LLC
• Whitehall Dental Partners, LLP
• Whitehall Family Dental - Dr Aaron Carroll DDS LLC
• Whitehall Preparatory & Fitness Academy
• Erin Whitehead
• Lekeisha Moneak Whitehead
• Mahalea Whitehead
• Shareeka Whitehead

• General Practice Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.