Mark John Rastetter, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35132601 Issued in OH

Practice address

2000 Kenny Rd
Columbus, OH 43221-3555

Phone

(614) 293-9777

Fax

(614) 293-9776

NPI assigned

Jul 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Columbus Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Circleville, OH
  • NPI 1578985453
  Medicare reassignment NPD
• Columbus Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1497817142
  NPD
• Columbus Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1710310594
  NPD
• Columbus Neighborhood Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1881756526
  NPD
• Columbus Neighborhood Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1346304151
  NPD
• Columbus Neighborhood Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Columbus, OH
  • NPI 1669535373
  NPD

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516233600000",
    "number": "1831397876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 570",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021579",
            "telephone_number": "614-293-2614",
            "fax_number": "614-293-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 KENNY RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432213555",
            "telephone_number": "614-293-9777",
            "fax_number": "614-293-9776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1044 W. Mozart",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60623",
            "country_code": "US",
            "telephone_number": "773-292-8300",
            "fax_number": "773-292-2601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASTETTER",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2018-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125051088",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036123137",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35132601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara K. Rasmussen, MD
• Destiny Rasnick
• Jordan Rasp, MD
• Victoria Danielle Rasp, DPT
• Chrisdee Rastatter
• Sally Raterman, MS ED,LSW
• Jennifer Lynn Rath, M.D.
• Kellie Rath, MD
• Taylor Gale Rathbun, PA-C
• Samuel Rathe, DPM

• 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 Jan 18, 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.

Verify at the official NPI Registry.