NPIMap

Organization Active NPI

Worthington Industries Medical Center, Inc.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1780875070
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35063833 Issued in OH
Legal business name
WORTHINGTON INDUSTRIES MEDICAL CENTER, INC.
Practice address
1250 Dearborn Dr
Columbus, OH 43085-4767
Phone
(614) 840-3500
Fax
(614) 840-3510
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Mr. David Paul Cowden
Title
Practice Administrator
Phone
(614) 840-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35063833 OH Primary

Addresses

Primary practice location

1250 Dearborn Dr
Columbus, OH 43085-4767

Mailing address

1250 Dearborn Dr
Columbus, OH 43085-4767
Phone (614) 840-3500

Other identifiers 3

IdentifierTypeStateIssuer
0180861MedicaidOH
OH84035MedicaidOH
0654297MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120606000593 OH Part B Supplier - Clinic/Group Practice 1254411762 Receives reassigned benefits from 4 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1780875070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 DEARBORN DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430854767",
            "telephone_number": "614-840-3500",
            "fax_number": "614-840-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 DEARBORN DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "430854767",
            "telephone_number": "614-840-3500",
            "fax_number": "614-840-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORTHINGTON INDUSTRIES MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "COWDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-840-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35063833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180861",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OH84035",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0654297",
            "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 Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.