Individual provider Active NPI

Cynaro Pritchett, M.D.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1487847935
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35069666 Issued in OH
Practice address
5175 E Main St
Columbus, OH 43213-2425
Phone
(614) 575-1200
Fax
(614) 575-9405
NPI assigned
Aug 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35069666 OH Primary

Addresses

Primary practice location

5175 E Main St
Columbus, OH 43213-2425

Mailing address

7385 State Route 3
Unit 54
Westerville, OH 43082-8654
Phone (484) 348-9486

Other identifiers 1

IdentifierTypeStateIssuer
0203210MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
35069666OHMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394668800000",
    "number": "1487847935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 STATE ROUTE 3",
            "address_2": "UNIT 54",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828654",
            "telephone_number": "484-348-9486",
            "fax_number": "253-563-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132425",
            "telephone_number": "614-575-1200",
            "fax_number": "614-575-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "CYNARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-18",
        "last_updated": "2014-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35069666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0203210",
            "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 Mar 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.