Individual provider Active NPI

Charmaine M Blair, M.D.

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1740264647
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-07-2434 Issued in OH
Practice address
2489 Stelzer Rd
Suite 101
Columbus, OH 43219-3129
Phone
(614) 473-1300
Fax
(614) 473-0722
NPI assigned
Dec 5, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35-07-2434 OH Primary

Addresses

Primary practice location

2489 Stelzer Rd
Suite 101
Columbus, OH 43219-3129

Mailing address

2489 Stelzer Rd
Suite 101
Columbus, OH 43219-3129
Phone (614) 473-1300

Other identifiers 1

IdentifierTypeStateIssuer
2138458MedicaidOH

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
I20050311000859 OH Practitioner - Internal Medicine 7810941895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1994
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)

2489 Stelzer Rd
Suite 101
Columbus, OH 43219-4007
Phone (614) 473-1300

460 Polaris Pkwy
Suite 200
Westerville, OH 43082-8213
Phone (614) 865-3125

4885 Olentangy River Rd
Columbus, OH 43214-1952
Phone (614) 326-5665

4885 Olentangy River Rd
Columbus, OH 43214-1993

4895 Olentangy River Rd
Columbus, OH 43214-1185

625 Africa Rd
Westerville, OH 43082-0002

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 447-9495

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

Hospital & facility affiliations

  • Mount Carmel Home Care Home health agency, Columbus, OH, CCN 367273
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035
  • Ohio State University State Health System Hospital, Columbus, OH, CCN 360085
  • James Cancer Hospital & Solove Research Institute Hospital, Columbus, OH, CCN 360242

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Dec 1, 2000 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Internal Medicine CurrentSince Dec 1, 2000 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients

Locations

2489 Stelzer Rd
Ste 101
Columbus, OH 43219
Phone (614) 473-1300

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

3433 Agler Rd
Ste 1100
Columbus, OH 43219
Phone (614) 453-1065

655 Africa Rd
Westerville, OH 43082

570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

Interoperability endpoints

  • Direct secure messaging: cblair19063@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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1740264647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 STELZER RD",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193129",
            "telephone_number": "614-473-1300",
            "fax_number": "614-473-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 STELZER RD",
            "address_2": "SUITE 101",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193129",
            "telephone_number": "614-473-1300",
            "fax_number": "614-473-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "CHARMAINE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-07-2434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138458",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.