Organization Active NPI

Capital City Internal Medicine Inc.

  • Primary Care Clinic/Center
  • Dublin, OH
National Provider Identifier
1568641256
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35082399 Issued in OH
Legal business name
CAPITAL CITY INTERNAL MEDICINE INC.
Practice address
6870 Perimeter Dr
Suite B
Dublin, OH 43016-8047
Phone
(614) 777-9804
Fax
(614) 777-9806
NPI assigned
Oct 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Mandana Emami, M.D.
Title
President
Phone
(614) 777-9804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35082399 OH Primary

Addresses

Primary practice location

6870 Perimeter Dr
Suite B
Dublin, OH 43016-8047

Mailing address

6870 Perimeter Dr
Suite B
Dublin, OH 43016-8047
Phone (614) 777-9804

Other identifiers 1

IdentifierTypeStateIssuer
3011823MedicaidOH

National Provider Directory

National Provider Directory

Locations

5123 Norwich St
Ste 230
Hilliard, OH 43026
Phone (614) 529-8200

NPI Registry JSON

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1568641256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6870 PERIMETER DR",
            "address_2": "SUITE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168047",
            "telephone_number": "614-777-9804",
            "fax_number": "614-777-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6870 PERIMETER DR",
            "address_2": "SUITE B",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168047",
            "telephone_number": "614-777-9804",
            "fax_number": "614-777-9806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY INTERNAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "EMAMI",
        "authorized_official_first_name": "MANDANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-777-9804",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35082399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3011823",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.