Individual provider Active NPI

Efrem Isaiah Swoope, PA-C

  • Physician Assistant
  • Westerville, OH
National Provider Identifier
1720834773
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.009085RX Issued in OH
Practice address
460 Polaris Pkwy Ste 100
Westerville, OH 43082-6090
Phone
(614) 895-3344
Fax
(614) 895-3795
NPI assigned
Apr 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.009085RX OH Primary

Addresses

Primary practice location

460 Polaris Pkwy Ste 100
Westerville, OH 43082-6090

Mailing address

460 Polaris Pkwy Ste 100
Westerville, OH 43082-6090
Phone (614) 895-3344

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250129002992 OH Practitioner - Physician Assistant 3476082819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Ohio Primary Care Physicians, Inc.Group PAC ID 2769383785, 487 clinicians

Practice addresses (Care Compare)

4885 Olentangy River Rd
Columbus, OH 43214-1953

625 Africa Rd
Westerville, OH 43082-0002

8050 E Main St
Suite 1200
Reynoldsburg, OH 43068-2575
Phone (614) 259-0923

8050 E Main St
Suite 1500
Reynoldsburg, OH 43068-2576
Phone (614) 895-3344

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Physician Assistant CurrentSince Nov 18, 2024 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

460 Polaris Pkwy
Ste 100
Westerville, OH 43082
Phone (614) 895-3344

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: iswoope81463@copcp.medicity.net

Organizations & group practices 2

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1720834773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 POLARIS PKWY STE 100",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826090",
            "telephone_number": "614-895-3344",
            "fax_number": "614-895-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 POLARIS PKWY STE 100",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826090",
            "telephone_number": "614-895-3344",
            "fax_number": "614-895-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWOOPE",
        "first_name": "EFREM",
        "middle_name": "ISAIAH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.009085RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.