Roy Carl St John, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

35054825S Issued in OH

Practice address

788 Mount Vernon Ave
Columbus, OH 43203-1408

Phone

(614) 457-4570

Fax

(614) 457-3777

NPI assigned

Dec 28, 2005

Last updated

Mar 29, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17790/brand/1/csg/1/fhir/r4
• Direct secure messaging: roy.st.john.1@16701.direct.athenahealth.com
• Direct secure messaging: roy.st.john.1@17790.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Breathing Association Lung Health Clinic, LLC

  • Clinic/Center
  • Columbus, OH
  • NPI 1912234287
  Medicare reassignment NPD Authorized official
• Columbus Cardiology Care, LLC

  • Cardiovascular Disease Physician
  • Columbus, OH
  • NPI 1518351287
  NPD (past)

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1558348839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 MOUNT VERNON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031408",
            "telephone_number": "614-457-4570",
            "fax_number": "614-457-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 MOUNT VERNON AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031408",
            "telephone_number": "614-457-4570",
            "fax_number": "614-457-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JOHN",
        "first_name": "ROY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35054825S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290013646",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0679538",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Justine Nnantege Ssebaggala, L.P.N.
• SSTH, LLC (Central Ohio Home Help Agency)
• Ssy Transportation, LLC
• Rebecca St Clair, LSW
• Andrew St Jacques, CDCA
• St Vincent Family Centers
• Genevieve Ann St. Angelo, PHARMD, RPH
• Christine St. Clair
• Jamie S St. Clair, RN, MS, ACNS-BC
• Hayley St. John, MA, CCC-SLP

• Pulmonary Disease Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Pulmonary Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.