Active NPI
Joan E King, D.O.
- Internal Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 34-00-5020
- Practice address
- 4895 Olentangy River Rd
Suite 200
Columbus, OH 43214 - Phone
- (614) 326-1502
- Fax
- (614) 326-3011
- NPI assigned
- Nov 30, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 34-00-5020 | OH | Primary |
Addresses
Primary practice location
4895 Olentangy River Rd
Suite 200
Columbus, OH 43214
Mailing address
4895 Olentangy River Rd
Suite 200
Columbus, OH 43214-1926
Phone (614) 326-1502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0836457 | Medicaid | OH |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Ohio Primary Care Physicians, Inc. | Internal Medicine | Current | Accepting new patients |
| Central Ohio Primary Care Physicians, Inc. | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Davidson Road Primary Care, Inc | Past | Accepting new patients |
Locations
4830 Knightsbridge Blvd
Ste A
Columbus, OH 43214
Phone (614) 451-2174
4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665
4605 Sawmill Rd
Ste 102
Columbus, OH 43220
Phone (614) 326-1502
4895 Olentangy River Rd
Ste 200
Columbus, OH 43214
Phone (614) 326-1502
4605 Sawmill Rd
Upper Arlngtn, OH 43220
Phone (614) 827-1050
655 Africa Rd
Westerville, OH 43082
291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Westerville, OH
- NPI 1194705194
-
- Clinical Medical Laboratory
- Westerville, OH
- NPI 1639279045
-
- Clinic/Center
- Hilliard, OH
- NPI 1912013483
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1770567232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 OLENTANGY RIVER RD",
"address_2": "SUITE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432141926",
"telephone_number": "614-326-1502",
"fax_number": "614-326-3011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 OLENTANGY RIVER RD",
"address_2": "SUITE 200",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43214",
"telephone_number": "614-326-1502",
"fax_number": "614-326-3011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "JOAN",
"middle_name": "E",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "34-00-5020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0836457",
"state": "OH"
}
],
"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 Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.