Active NPI
Dierker Physicians LLC
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1750860334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.072294
- Legal business name
- DIERKER PHYSICIANS LLC
- Practice address
- 1733 Ardleigh Rd
Columbus, OH 43221-1401 - Phone
- (614) 949-4957
- NPI assigned
- Aug 14, 2018
- 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
- James G Fitkin, MD
- Title
- Physician/Owner
- Phone
- (614) 949-4957
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.072294 | OH | Primary |
Addresses
Primary practice location
1733 Ardleigh Rd
Columbus, OH 43221-1401
Mailing address
1733 Ardleigh Rd
Columbus, OH 43221-1401
Phone (614) 949-4957
Other practice location 1
4794 Dierker Rd
Columbus, OH 43220
Phone (614) 949-4957
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654300800000",
"number": "1750860334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1733 ARDLEIGH RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432211401",
"telephone_number": "614-949-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1733 ARDLEIGH RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432211401",
"telephone_number": "614-949-4957"
}
],
"practiceLocations": [
{
"address_1": "4794 Dierker Rd",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "43220",
"country_code": "US",
"telephone_number": "614-949-4957",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "DIERKER PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-14",
"last_updated": "2022-06-04",
"certification_date": "2022-06-04",
"status": "A",
"authorized_official_last_name": "FITKIN",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PHYSICIAN/OWNER",
"authorized_official_telephone_number": "614-949-4957",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "35.072294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.