Individual provider Active NPI

Roy Dunfee

  • Gerontology Nurse Practitioner
  • Lancaster, OH
National Provider Identifier
1821748765
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
RN.485487 Issued in OH
Practice address
7376 Tent Church Rd NE
Lancaster, OH 43130-1554
Phone
(740) 808-3624
NPI assigned
Mar 24, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X RN.485487 OH Primary

Addresses

Primary practice location

7376 Tent Church Rd NE
Lancaster, OH 43130-1554

Mailing address

7376 Tent Church Rd NE
Lancaster, OH 43130-1554
Phone (740) 808-3624

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220928001741 OH Practitioner - Nurse Practitioner 6800272899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

401 N Ewing St
Fairfield Medical Center
Lancaster, OH 43130-3372
Phone (614) 228-7231

Hospital & facility affiliations

  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.485487OHMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp CurrentSince Jun 1, 2022 Accepting new patients

Locations

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

401 N Ewing St
Lancaster, OH 43130
Phone (740) 687-8000

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1821748765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7376 TENT CHURCH RD NE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301554",
            "telephone_number": "740-808-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7376 TENT CHURCH RD NE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301554",
            "telephone_number": "740-808-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNFEE",
        "first_name": "ROY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "OH",
            "license": "RN.485487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, OH

Sources for this page

Verify at the official NPI Registry.