Active NPI
Cardinal Management Group LTD
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1508963737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CARDINAL MANAGEMENT GROUP LTD
- Practice address
- 2912 S High St
Columbus, OH 43207-3616 - Phone
- (614) 748-2000
- Fax
- (614) 748-3000
- NPI assigned
- Sep 20, 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
- Mr. Kevin Lake, DO
- Title
- Manager
- Phone
- (614) 748-2000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2912 S High St
Columbus, OH 43207-3616
Mailing address
2912 S High St
Columbus, OH 43207-3616
Phone (614) 748-2000
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1508963737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2912 S HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432073616",
"telephone_number": "614-748-2000",
"fax_number": "614-748-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 S HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432073616",
"telephone_number": "614-748-2000",
"fax_number": "614-748-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL MANAGEMENT GROUP LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LAKE",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "614-748-2000",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.