Emanuel Dolph, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35.126808 Issued in OH

Practice address

777 W State St Ste 201
Columbus, OH 43222-1523

Phone

(614) 274-1455

Fax

(614) 274-1433

NPI assigned

May 9, 2012

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

University of Oklahoma College of Medicine, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lower Lights Christian Health Center IncGroup PAC ID 5193794188, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edolph630774@direct.ochin.org
• Direct secure messaging: emanuel.dolph@direct.stjohnhealthsystem.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lower Lights Christian Health Center, Inc.

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1033455209
  Medicare reassignment Care Compare group NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Newark, OH
  • NPI 1700549755
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992460950
  NPD
• Lower Lights Christian Health Center Inc

  • Clinic/Center
  • Columbus, OH
  • NPI 1992468938
  NPD
• Lower Lights Christian Health Center, Inc

  dba Union Star Health Center

  • Primary Care Clinic/Center
  • Marysville, OH
  • NPI 1699114108
  NPD
• Lower Lights Christian Health Center, Inc

  dba German Village Health Center

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1841611688
  NPD
• Lower Lights Christian Health Center, Inc

  dba Vineyard Cooper Rd Health Center

  • Primary Care Clinic/Center
  • Westerville, OH
  • NPI 1962823708
  NPD
• Lower Lights Christian Health Center, Inc.

  • Primary Care Clinic/Center
  • Columbus, OH
  • NPI 1154630408
  NPD
• Lower Lights Christian Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Newark, OH
  • NPI 1144892472
  NPD (past)
• Lower Lights Christian Health Center Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1770854473
  NPD (past)

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1821357062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221352",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 W STATE ST STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221523",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1160 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432221352",
            "country_code": "US",
            "telephone_number": "614-274-1455",
            "fax_number": "614-274-1433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOLPH",
        "first_name": "EMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.126808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie R Dolhun, APRN-CNP
• Deborah Doling-Dade
• Patrick Dollenmayer, OD
• Feliciano Robert G. Dolor, MD
• Melinda C Dolor, MD
• Courtney Ann Dolphin, ATC
• Khirrah Domask, MSW, LSW
• Christine Dombroski, NP
• Laryssa Dombroski
• Cari Dombrowski, MSW

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.

Verify at the official NPI Registry.