NPIMap

Individual provider Active NPI

Jerry Tobler, MD, PHD

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1497755367
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35085416 Issued in OH
Practice address
3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214-3937
Phone
(614) 340-7747
Fax
(614) 340-7742
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35085416 OH Primary

Addresses

Primary practice location

3525 Olentangy River Rd
Ste 5360
Columbus, OH 43214-3937

Mailing address

100 E Campus View Blvd
Ste 160
Columbus, OH 43235-4647
Phone (614) 396-4750

Other identifiers 3

IdentifierTypeStateIssuer
10856093OtherOHCAQH
P00318368OtherOHRR MEDICARE
2532981MedicaidOH

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, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35085416OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Radiological Associates PC Diagnostic Radiology Past Accepting new patients
Imaging Consultants of Findlay, Inc Diagnostic Radiology Past Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology Past Accepting new patients
Radiology Physicians of Springfield Diagnostic Radiology Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1497755367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CAMPUS VIEW BLVD",
            "address_2": "STE 160",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354647",
            "telephone_number": "614-396-4750",
            "fax_number": "614-396-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "address_2": "STE 5360",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-340-7747",
            "fax_number": "614-340-7742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBLER",
        "first_name": "JERRY",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35085416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10856093",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00318368",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2532981",
            "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 May 14, 2008; 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.