Organization Active NPI

David G. Stockwell, M.D. Inc

  • Obstetrics & Gynecology Physician
  • Columbus, OH
National Provider Identifier
1609979566
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35036392S Issued in OH
Legal business name
DAVID G. STOCKWELL, M.D. INC
Practice address
3545 Olentangy River Rd
Suite 411
Columbus, OH 43214-3993
Phone
(614) 262-3144
Fax
(614) 262-3155
NPI assigned
Sep 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Penny L Schmaltz, R.N.C.
Title
Nurse Manager
Phone
(614) 262-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 35036392S OH Primary

Addresses

Primary practice location

3545 Olentangy River Rd
Suite 411
Columbus, OH 43214-3993

Mailing address

3545 Olentangy River Rd
Suite 411
Columbus, OH 43214-3993
Phone (614) 262-3144

Other identifiers 2

IdentifierTypeStateIssuer
2117328MedicaidOH
0378694MedicaidOH

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": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609979566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD",
            "address_2": "SUITE 411",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143993",
            "telephone_number": "614-262-3144",
            "fax_number": "614-262-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD",
            "address_2": "SUITE 411",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143993",
            "telephone_number": "614-262-3144",
            "fax_number": "614-262-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID G. STOCKWELL, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHMALTZ",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "614-262-9490",
        "authorized_official_credential": "R.N.C."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35036392S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2117328",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0378694",
            "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 Aug 22, 2020; 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.