Individual provider Active NPI

Robbin McSurley, R.D., L.D.

  • Registered Dietitian
  • Columbus, OH
National Provider Identifier
1629201447
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
700469 Issued in OH
Practice address
5340 E Main St
Suite 111
Columbus, OH 43213-2574
Phone
(614) 864-7225
Fax
(614) 864-2207
NPI assigned
Aug 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 700469 OH Primary

Addresses

Primary practice location

5340 E Main St
Suite 111
Columbus, OH 43213-2574

Mailing address

5340 E Main St
Suite 111
Columbus, OH 43213-2574
Phone (614) 864-7225

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100115000831 OH Practitioner - Registered Dietitian Or Nutrition Professional 2365584166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Nutrition Center IncGroup PAC ID 8426081357, 13 clinicians

Practice addresses (Care Compare)

648 Taylor Rd
Gahanna, OH 43230-3202
Phone (614) 864-7225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Nutrition Center, Inc Dietitian, Registered Current Accepting new patients
Central Ohio Nutrition Center Dietitian, Registered CurrentSince Nov 12, 2009 Accepting new patients
Central Ohio Nutrition Center, Inc Dietitian, Registered CurrentSince Nov 12, 2009 Accepting new patients

Locations

5340 E Main St
Ste 111
Columbus, OH 43213
Phone (614) 864-7225

648 Taylor Rd
Gahanna, OH 43230
Phone (614) 864-7225

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251331200000",
    "number": "1629201447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 E MAIN ST",
            "address_2": "SUITE 111",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132574",
            "telephone_number": "614-864-7225",
            "fax_number": "614-864-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 E MAIN ST",
            "address_2": "SUITE 111",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132574",
            "telephone_number": "614-864-7225",
            "fax_number": "614-864-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCSURLEY",
        "first_name": "ROBBIN",
        "credential": "R.D., L.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2009-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "700469",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 27, 2009; 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.