Individual provider Active NPI

Anthony Paul Restuccio, MD

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1588650477
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35059000 Issued in OH
Practice address
101 Commerce Park Dr
Westerville, OH 43082-8349
Phone
(614) 898-3006
Fax
(614) 898-3023
NPI assigned
Sep 26, 2005
Last updated
Oct 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35059000 OH Primary

Addresses

Primary practice location

101 Commerce Park Dr
Westerville, OH 43082-8349

Mailing address

101 Commerce Park Dr
Westerville, OH 43082-8349
Phone (614) 898-3006

Other identifiers 1

IdentifierTypeStateIssuer
0846339MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161219002412 OH Order and Referring Only - Family PracticePractitioner - Family Practice 7618952805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wedgewood Urgent Care, LTD Family Medicine Past Accepting new patients
Immediate Health Associates Past Accepting new patients
Osu Family Practice Services Family Medicine Past Accepting new patients
Osu Family Practice Services Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1588650477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828349",
            "telephone_number": "614-898-3006",
            "fax_number": "614-898-3023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 COMMERCE PARK DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828349",
            "telephone_number": "614-898-3006",
            "fax_number": "614-898-3023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESTUCCIO",
        "first_name": "ANTHONY",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35059000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0846339",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.