Organization Active NPI

Ronald J Haudenschilt MD Inc

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1598084576
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35054937 Issued in OH
Legal business name
RONALD J HAUDENSCHILT MD INC
Practice address
5770 Karl Rd
Columbus, OH 43229-3604
Phone
(614) 847-9933
Fax
(614) 847-9919
NPI assigned
May 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Authorized official

Name
Dr. Ronald J Haudenschilt, MDNPI 1730173840
Title
President
Phone
(614) 847-9933

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 35054937 OH Primary

Addresses

Primary practice location

5770 Karl Rd
Columbus, OH 43229-3604

Mailing address

5770 Karl Rd
Columbus, OH 43229-3604
Phone (614) 847-9933

Other identifiers 1

IdentifierTypeStateIssuer
0653896MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000909 OH Part B Supplier - Clinic/Group Practice 4880727858 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0868665Ronald J Haudenschilt MD5770 Karl Road, Columbus, OH 43229Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

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": "1275091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1598084576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293604",
            "telephone_number": "614-847-9933",
            "fax_number": "614-847-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293604",
            "telephone_number": "614-847-9933",
            "fax_number": "614-847-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J HAUDENSCHILT MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-29",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "HAUDENSCHILT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-847-9933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35054937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0653896",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.