NPIMap

Organization Active NPI

Central Ohio Nutrition Center, Inc

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1528245685
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL OHIO NUTRITION CENTER, INC
Practice address
9039 Antares Ave Ste C
Columbus, OH 43240-4067
Phone
(614) 847-6008
Fax
(614) 847-6021
NPI assigned
Jan 30, 2008
Last updated
Aug 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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

Authorized official

Name
Judy F Loper, PHD RD LDNPI 1295111938
Title
Owner Director
Phone
(614) 864-7225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X NU
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

9039 Antares Ave Ste C
Columbus, OH 43240-4067

Mailing address

450 Alkyre Run Ste 120
Westerville, OH 43082-6910
Phone (614) 847-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913000019 OH Part B Supplier - Clinic/Group Practice 8426081357 Receives reassigned benefits from 26 practitioners
3 other NPIs on this enrollment
Practice locations: Columbus, OH; Gahanna, OH; Westerville, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Central Ohio Nutrition Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9039 Antares Ave
Ste C
Columbus, OH 43240
Phone (614) 847-6008

450 Alkyre Run
Ste 120
Westerville, OH 43082
Phone (614) 847-6008

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692662400000",
    "number": "1528245685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ALKYRE RUN STE 120",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826910",
            "telephone_number": "614-847-6008",
            "fax_number": "614-847-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9039 ANTARES AVE STE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432404067",
            "telephone_number": "614-847-6008",
            "fax_number": "614-847-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO NUTRITION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER DIRECTOR",
        "authorized_official_telephone_number": "614-864-7225",
        "authorized_official_credential": "PHD RD LD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "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, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.