Individual provider Active NPI

Elizabeth Kirkland, MD

  • Pediatrics Physician
  • Columbus, OH
National Provider Identifier
1710304928
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35-129735 Issued in OH
Practice address
4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993
Phone
(614) 267-7878
Fax
(614) 267-7077
NPI assigned
Mar 25, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 35-129735 OH Primary

Addresses

Primary practice location

4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993

Mailing address

4885 Olentangy River Rd Ste 2-10
Columbus, OH 43214-1993
Phone (614) 267-7878

Other identifiers 1

IdentifierTypeStateIssuer
197292MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107000525 OH Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 9436451473

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-129735OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Single Specialty CurrentSince Jul 24, 2022 Accepting new patients
Central Ohio Primary Care Physicians, Inc. PastSince Jul 24, 2022 Accepting new patients

Locations

4885 Olentangy River Rd
Ste 2-10
Columbus, OH 43214
Phone (614) 267-7878

Interoperability endpoints

  • Direct secure messaging: ekirkland19147@copcp.medicity.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710304928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 2-10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141993",
            "telephone_number": "614-267-7878",
            "fax_number": "614-267-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD STE 2-10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141993",
            "telephone_number": "614-267-7878",
            "fax_number": "614-267-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35-129735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.