Active NPI
Andrew Michael King, M.D.
- Emergency Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35.120394
- Practice address
- 410 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 293-8305
- Fax
- (614) 293-3124
- NPI assigned
- Aug 20, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2011-01974 | NC | |
| Emergency Medicine Physician | 207P00000X | 35.120394 | OH | Primary |
Addresses
Primary practice location
410 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
410 W 10TH Ave
Columbus, OH 43210-1240
Phone (614) 293-8305
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5920260 | Medicaid | NC |
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Northeastern Ohio University College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-1997
Hospital & facility affiliations
- Grant Medical Center
- Riverside Methodist Hospital
- Dublin Methodist Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.120394 | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Ohio Emergency Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Osu Emergency Medicine LLC | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400
3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997
410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905
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.
-
- Emergency Medicine Physician
- Columbus, OH
- NPI 1386691780
-
- Emergency Medical Services (Emergency Medicine) Physician
- Columbus, OH
- NPI 1699705681
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1255377149
-
- General Acute Care Hospital
- Columbus, OH
- NPI 1467484972
-
- General Acute Care Hospital
- Dublin, OH
- NPI 1801937008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368662400000",
"number": "1821220146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-8305",
"fax_number": "614-293-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-8305",
"fax_number": "614-293-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "ANDREW",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-20",
"last_updated": "2013-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2011-01974",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35.120394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5920260",
"state": "NC"
}
],
"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 May 16, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.