Organization Active NPI

Ohiohealth Corporation

Doing business as Grant/Riverside Medical Care Foundation, Inc

  • Orthopaedic Surgery Physician
  • Columbus, OH
National Provider Identifier
1598063620
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
OHIOHEALTH CORPORATION
Doing business as
Grant/Riverside Medical Care Foundation, Inc
Practice address
340 E Town St Ste 7-250
Columbus, OH 43215-4615
Phone
(614) 566-8570
Fax
(614) 566-8548
NPI assigned
Mar 15, 2011
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Mark Wuestewald
Title
Director of Revenue Cycle
Phone
(614) 544-6351

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

340 E Town St Ste 7-250
Columbus, OH 43215-4615

Mailing address

5350 Frantz Rd
Dublin, OH 43016-4259
Phone (614) 544-6356

Other identifiers 1

IdentifierTypeStateIssuer
2083347MedicaidOH

Other names 1

  • Grant/Riverside Medical Care Foundation, Inc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1598063620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 FRANTZ RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164259",
            "telephone_number": "614-544-6356",
            "fax_number": "614-544-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E TOWN ST STE 7-250",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154615",
            "telephone_number": "614-566-8570",
            "fax_number": "614-566-8548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIOHEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "WUESTEWALD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "614-544-6351"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2083347",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grant/Riverside Medical Care Foundation, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 15, 2011; 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.