Organization Active NPI

South Court Family Practice Center, Inc.

  • Family Medicine Physician
  • Circleville, OH
National Provider Identifier
1538224613
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35076625-T Issued in OH
Legal business name
SOUTH COURT FAMILY PRACTICE CENTER, INC.
Practice address
600 N Pickaway St
Suite 204
Circleville, OH 43113-2409
Phone
(740) 420-0100
Fax
(740) 420-0103
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tapaswini A Trivedi, M..D.NPI 1215972021
Title
President
Phone
(740) 420-0100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35076625-T OH Primary

Addresses

Primary practice location

600 N Pickaway St
Suite 204
Circleville, OH 43113-2409

Mailing address

600 N Pickaway St
Suite 204
Circleville, OH 43113-2409
Phone (740) 420-0100

Other identifiers 1

IdentifierTypeStateIssuer
2142041MedicaidOH

National Provider Directory

National Provider Directory

Locations

600 N Pickaway St
Ste 204
Circleville, OH 43113
Phone (614) 759-5060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538224613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "address_2": "SUITE 204",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132409",
            "telephone_number": "740-420-0100",
            "fax_number": "740-420-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "address_2": "SUITE 204",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132409",
            "telephone_number": "740-420-0100",
            "fax_number": "740-420-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COURT FAMILY PRACTICE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "TAPASWINI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-420-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M..D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35076625-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2142041",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, 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.

Verify at the official NPI Registry.