Active NPI
Marysville Arthritis Center, LLC
- Rheumatology Physician
- Marysville, OH
National Provider Identifier
1497793020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 35-08-5561
- Legal business name
- MARYSVILLE ARTHRITIS CENTER, LLC
- Practice address
- 500 London Ave
Marysville, OH 43040-5512 - Phone
- (937) 578-2275
- Fax
- (937) 578-4677
- NPI assigned
- Jun 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Abha R. Gupta, M.D.
- Title
- Owner
- Phone
- (937) 578-4343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 35-08-5561 | OH | Primary |
Addresses
Primary practice location
500 London Ave
Marysville, OH 43040-5512
Mailing address
200 Bradenton Ave
Dublin, OH 43017-7515
Phone (614) 793-1980
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2553820 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257292800000",
"number": "1497793020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BRADENTON AVE",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430177515",
"telephone_number": "614-793-1980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LONDON AVE",
"city": "MARYSVILLE",
"state": "OH",
"postal_code": "430405512",
"telephone_number": "937-578-2275",
"fax_number": "937-578-4677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARYSVILLE ARTHRITIS CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2009-11-04",
"status": "A",
"authorized_official_last_name": "GUPTA",
"authorized_official_first_name": "ABHA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "937-578-4343",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "OH",
"license": "35-08-5561",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2553820",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marysville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.