NPIMap

Organization Active NPI

Mount Carmel Health System

  • Occupational Medicine Physician
  • Columbus, OH
National Provider Identifier
1669504387
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
Legal business name
MOUNT CARMEL HEALTH SYSTEM
Practice address
5969 E Broad St
301
Columbus, OH 43213-1539
Phone
(614) 234-7090
Fax
(614) 234-7901
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Tara Johnson
Title
Director, Employer Services
Phone
(614) 546-4365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083X0100X Primary

Addresses

Primary practice location

5969 E Broad St
301
Columbus, OH 43213-1539

Mailing address

6150 E Broad St
2ND Floor, Eb 239B
Columbus, OH 43213-1574
Phone (614) 546-4621

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120727000563 OH Part B Supplier - Clinic/Group Practice 6709793367 Receives reassigned benefits from 269 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westerville, OH; Grove City, OH; Dublin, OH; Columbus, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member organizations 22

Organizations listed as members of this organization in the National Provider Directory.

View all 22

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1669504387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 E BROAD ST",
            "address_2": "2ND FLOOR, EB 239B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131574",
            "telephone_number": "614-546-4621",
            "fax_number": "614-546-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5969 E BROAD ST",
            "address_2": "301",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432131539",
            "telephone_number": "614-234-7090",
            "fax_number": "614-234-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "DIRECTOR, EMPLOYER SERVICES",
        "authorized_official_telephone_number": "614-546-4365"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "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 Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.