Active NPI
Terry Alan Dragash, DO
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1598767584
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective May 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34004340
- Practice address
- 2912 S High St
Columbus, OH 43207-3616 - Phone
- (614) 748-2000
- Fax
- (614) 748-3000
- NPI assigned
- Aug 10, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34004340 | OH | Primary |
Addresses
Primary practice location
2912 S High St
Columbus, OH 43207-3616
Mailing address
177 Laurel LN
Pataskala, OH 43062-8544
Phone (740) 964-2667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0665687 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7461 | OH | MD | Clinical Child & Adolescent Psychologist |
| 34004340 | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598767584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "177 LAUREL LN",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430628544",
"telephone_number": "740-964-2667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2912 S HIGH ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432073616",
"telephone_number": "614-748-2000",
"fax_number": "614-748-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRAGASH",
"first_name": "TERRY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "34004340",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0665687",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
- Dr. Tamimi & Associates (Easton), Inc. (DentalWorks)
- Dr.Mahmoud Shehata M.D LCC (Upper Arlington Behavioral Health)
- Kylene Marci Draeger, M.D.
- Steven Charles Draeger, MD
- Joy Drafton, R.N.
- Dragon Equipment & Medical Supplies
- Dragonfly Counseling & Wellness, LLC
- Maxim Dragoun, MD
- Sherrill Michelle Dragovich, LISW
- Linda Draguljic, OTR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.