NPIMap

Organization Active NPI

Physician's Practice Organization, Inc. D/B/a Columbus Pediatrics

  • Pediatrics Physician
  • Columbus, IN
National Provider Identifier
1639263569
Registry record updated Mar 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
PHYSICIAN'S PRACTICE ORGANIZATION, INC. D/B/A COLUMBUS PEDIATRICS
Practice address
1120 N Marr Rd
Columbus, IN 47201-5505
Phone
(812) 376-9219
Fax
(812) 348-0297
NPI assigned
Oct 3, 2006
Last updated
Mar 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2011

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

Authorized official

Name
Robbie Hyer
Title
Practice Manager
Phone
(812) 376-9219

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1120 N Marr Rd
Columbus, IN 47201-5505

Mailing address

1120 N Marr Rd
Columbus, IN 47201-5505
Phone (812) 376-9219

Other identifiers 1

IdentifierTypeStateIssuer
100052040MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Physician's Practice Organization Inc Dba Columbus Pediatrics3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301011200000",
    "number": "1639263569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N MARR RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015505",
            "telephone_number": "812-376-9219",
            "fax_number": "812-348-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N MARR RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015505",
            "telephone_number": "812-376-9219",
            "fax_number": "812-348-0297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S PRACTICE ORGANIZATION, INC. D/B/A COLUMBUS PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-03-25",
        "status": "A",
        "authorized_official_last_name": "HYER",
        "authorized_official_first_name": "ROBBIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "812-376-9219"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100052040",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2011; 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.