Organization Active NPI

R Keith Pattison DO Inc

  • Cardiovascular Disease Physician
  • Columbus, OH
National Provider Identifier
1528204138
Registry record updated Jan 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
342598000 Issued in OH
Legal business name
R KEITH PATTISON DO INC
Practice address
750 Mt Carmel Mall
Ste 350
Columbus, OH 43222-1553
Phone
(614) 227-0123
Fax
(614) 227-0270
NPI assigned
Jan 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2009

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

Authorized official

Name
R Keith Pattison, DO
Title
Owner
Phone
(614) 227-0123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 342598000 OH Primary

Addresses

Primary practice location

750 Mt Carmel Mall
Ste 350
Columbus, OH 43222-1553

Mailing address

750 Mt Carmel Mall Ste 310
Columbus, OH 43222-1553
Phone (614) 227-0123

National Provider Directory

National Provider Directory

Locations

750 Mount Carmel Mall
Ste 310
Columbus, OH 43222
Phone (614) 227-0123

750 Mount Carmel Mall
#310
Columbus, OH 43222
Phone (614) 227-0123

750 Mount Carmel Mall
Ste 350
Columbus, OH 43222
Phone (614) 221-5189

NPI Registry JSON

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1528204138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MT CARMEL MALL STE 310",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-227-0123",
            "fax_number": "614-227-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MT CARMEL MALL",
            "address_2": "STE 350",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-227-0123",
            "fax_number": "614-227-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R KEITH PATTISON DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "PATTISON",
        "authorized_official_first_name": "R",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-227-0123",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "342598000",
            "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 Jan 2, 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.

Verify at the official NPI Registry.