Individual provider Active NPI

Jack Steven Schirmer, MD

  • Family Medicine Physician
  • Hilliard, OH
National Provider Identifier
1508487786
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
125.077029 Issued in IL
Practice address
3958 Leap Rd Ste 101
Hilliard, OH 43026-3107
Phone
(614) 876-7330
Fax
(614) 876-6974
NPI assigned
Apr 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125.077029 IL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3958 Leap Rd Ste 101
Hilliard, OH 43026-3107

Mailing address

3958 Leap Rd Ste 101
Hilliard, OH 43026-3107
Phone (614) 876-7330

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
I20240808003744 OH Practitioner - Family Practice 1355783168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

3958 Leap Rd
Suite 101
Hilliard, OH 43026-3107
Phone (614) 876-7330

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1993

4895 Olentangy River Rd
Columbus, OH 43214-1185

625 Africa Rd
Westerville, OH 43082-0002

Hospital & facility affiliations

  • Doctors Hospital Hospital, Columbus, OH, CCN 360152
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Dublin Methodist Hospital Hospital, Dublin, OH, CCN 360348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.077029ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Loyola University Medical Center Current Accepting new patients

Locations

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: jschirmer125890@direct.luhs.org
  • Direct secure messaging: jschirmer80645@copcp.medicity.net

Organizations & group practices 3

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": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1508487786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3958 LEAP RD STE 101",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263107",
            "telephone_number": "614-876-7330",
            "fax_number": "614-876-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3958 LEAP RD STE 101",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430263107",
            "telephone_number": "614-876-7330",
            "fax_number": "614-876-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIRMER",
        "first_name": "JACK",
        "middle_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-29",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125.077029",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.