Columbus Vascular Medicine Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35071159S Issued in OH

Legal business name

COLUMBUS VASCULAR MEDICINE INC

Practice address

285 E State St
Ste 460a
Columbus, OH 43215-4354

Phone

(614) 228-8272

Fax

(614) 228-8271

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Randall Slaybaugh, MD

Title

President

Phone

(614) 228-8272

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416960000000",
    "number": "1679511182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E STATE ST",
            "address_2": "STE 460A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154354",
            "telephone_number": "614-228-8272",
            "fax_number": "614-228-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E STATE ST",
            "address_2": "STE 460A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154354",
            "telephone_number": "614-228-8272",
            "fax_number": "614-228-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS VASCULAR MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-11-26",
        "status": "A",
        "authorized_official_last_name": "SLAYBAUGH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-228-8272",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35071159S",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2824555",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus VA Ambulatory Care Center
• Columbus VA Ambulatory Care Center
• Columbus VA Ambulatory Care Center
• Columbus VA Opc
• Columbus Vascular Care LLC
• Columbus Wellness Medicine, LLC
• Columbus West Health Care Co.
• Columbus West Park Home Health & Adult Day Services LLC
• Columbus West Surgery Center
• Columbus Women'S Care, Inc

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; 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.