Active NPI
Ohiohealth Corporation
Doing business as Grant/Riverside Medical Care Foundation, Inc
- Family Medicine Physician
- Westerville, OH
National Provider Identifier
1710285812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- OHIOHEALTH CORPORATION
- Doing business as
- Grant/Riverside Medical Care Foundation, Inc
- Practice address
- 300 Polaris Pkwy Ste 2150
Westerville, OH 43082-7808 - Phone
- (614) 588-0020
- Fax
- (614) 588-2031
- NPI assigned
- Mar 14, 2011
- Last updated
- Mar 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark Wuestewald
- Title
- Director of Revenue Cycle
- Phone
- (614) 544-6351
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Sports Medicine (Family Medicine) Physician | 207QS0010X | |||
| Internal Medicine Physician | 207R00000X | |||
| Sports Medicine (Internal Medicine) Physician | 207RS0010X |
Addresses
Primary practice location
300 Polaris Pkwy Ste 2150
Westerville, OH 43082-7808
Mailing address
5350 Frantz Rd
Dublin, OH 43016-4259
Phone (614) 544-6356
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2083347 | Medicaid | OH |
Other names 1
- Grant/Riverside Medical Care Foundation, Inc
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1300060800000",
"number": "1710285812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5350 FRANTZ RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430164259",
"telephone_number": "614-544-6356",
"fax_number": "614-544-6370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 POLARIS PKWY STE 2150",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430827808",
"telephone_number": "614-588-0020",
"fax_number": "614-588-2031"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIOHEALTH CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A",
"authorized_official_last_name": "WUESTEWALD",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
"authorized_official_telephone_number": "614-544-6351"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RS0010X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2083347",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Grant/Riverside Medical Care Foundation, Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westerville, OH
- Ohio Prime Transportation LLC
- Ohio Seniorsupport (ohio senior support home health)
- Ohio Sleep Treatment LLC
- Ohio State University Outpatient Pharmacy (The Ohio State University Outpatient Pharmacy- OCNA)
- Ohio Transportation Resource and Shuttle Inc (Mataan Elmi)
- Ohiohealth Corporation (OhioHealth Emergency Care Center Pharmacy)
- Ohiohealth Sleep Services LLC (Ohio Sleep Solutions)
- David M. Ohle, O.D.
- Ohrh, LLC (Novacare Rehabilitation)
- Ohrh, LLC (NovaCare Rehabilitation)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.