Active NPI
John P Kuebler, M.D., PH.D.
- Medical Oncology Physician
- Columbus, OH
National Provider Identifier
1619973864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 35044102
- Practice address
- 810 Jasonway Ave
Ste a
Columbus, OH 43214-4359 - Phone
- (614) 442-3130
- Fax
- (614) 442-3145
- NPI assigned
- Jun 22, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 35044102 | OH | Primary |
Addresses
Primary practice location
810 Jasonway Ave
Ste a
Columbus, OH 43214-4359
Mailing address
810 Jasonway Ave
Ste a
Columbus, OH 43214-4359
Phone (614) 442-3130
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11548 | Other | OH | NATIONWIDE |
| 830002061 | Other | OH | RAILROAD MEDICARE |
| 3600069 | Other | OH | UHC |
| 00000013858 | Other | OH | ANTHEM |
| 0802868 | 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)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35044102 | OH | MD | Medical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Ohio Oncology & Hematology LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Hematology & Oncology Physician
- Columbus, OH
- NPI 1467717553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328227200000",
"number": "1619973864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 JASONWAY AVE",
"address_2": "STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144359",
"telephone_number": "614-442-3130",
"fax_number": "614-442-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 JASONWAY AVE",
"address_2": "STE A",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432144359",
"telephone_number": "614-442-3130",
"fax_number": "614-442-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUEBLER",
"first_name": "JOHN",
"middle_name": "P",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-22",
"last_updated": "2012-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "OH",
"license": "35044102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "11548",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "830002061",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "3600069",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "00000013858",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0802868",
"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 Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.