Active NPI
Steven Hilary Lichtblau, MD
- Internal Medicine Physician
- Hilliard, OH
National Provider Identifier
1679651020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-030138
- Practice address
- 3535 Fishinger Blvd
Suite 285
Hilliard, OH 43026-7504 - Phone
- (614) 527-2562
- Fax
- (614) 527-2571
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-030138 | OH | Primary |
Addresses
Primary practice location
3535 Fishinger Blvd
Suite 285
Hilliard, OH 43026-7504
Mailing address
3535 Fishinger Blvd
Suite 285
Hilliard, OH 43026-7504
Phone (614) 527-2562
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0244435 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-030138 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259712000000",
"number": "1679651020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 FISHINGER BLVD",
"address_2": "SUITE 285",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267504",
"telephone_number": "614-527-2562",
"fax_number": "614-527-2571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 FISHINGER BLVD",
"address_2": "SUITE 285",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430267504",
"telephone_number": "614-527-2562",
"fax_number": "614-527-2571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LICHTBLAU",
"first_name": "STEVEN",
"middle_name": "HILARY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2009-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-030138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0244435",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.