Individual provider Active NPI

Margaret J Fruth, MS, RN

  • Acute Care Nurse Practitioner
  • Canal Winchester, OH
National Provider Identifier
1831577469
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
COA.17456-NP Issued in OH
Practice address
48 E Waterloo St
Canal Winchester, OH 43110-1138
Phone
(614) 768-6626
Fax
(614) 768-6626
NPI assigned
May 15, 2015
Last updated
Jan 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 388139 OH
Acute Care Nurse Practitioner 363LA2100X COA.17456-NP OH Primary

Addresses

Primary practice location

48 E Waterloo St
Canal Winchester, OH 43110-1138

Mailing address

5065 Wilson Rd NW
Lancaster, OH 43130-9508
Phone (740) 503-8413

Other practice location 1

452 W 10th Ave
Columbus, OH 43210-1240
Phone (614) 366-3583

Other names 1

  • Margaret J Stephani Former name

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
I20150812008127 OH Practitioner - Nurse Practitioner 6103131685

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
388139OHMDRegistered Nurse
COA.17456-NPOHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobo Medical Spa LLC CurrentSince Jan 29, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

48 E Waterloo St
Canal Winchester, OH 43110
Phone (614) 768-6626

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1831577469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5065 WILSON RD NW",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309508",
            "telephone_number": "740-503-8413",
            "fax_number": "614-768-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 E WATERLOO ST",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "431101138",
            "telephone_number": "614-768-6626",
            "fax_number": "614-768-6626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 W 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432101240",
            "country_code": "US",
            "telephone_number": "614-366-3583",
            "fax_number": "614-366-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRUTH",
        "first_name": "MARGARET",
        "middle_name": "J",
        "credential": "MS, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-15",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "388139",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "COA.17456-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "STEPHANI",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.