NPIMap

Organization Active NPI

Senior Care Advantage LLC

  • Internal Medicine Physician
  • Dublin, OH
National Provider Identifier
1841431475
Registry record updated Sep 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SENIOR CARE ADVANTAGE LLC
Practice address
7652 Sawmill Rd
Suite 321
Dublin, OH 43016-9296
Phone
(614) 595-1055
Fax
(614) 923-7813
NPI assigned
Mar 11, 2009
Last updated
Sep 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2014

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

Authorized official

Name
Dr. Gavin Baumgardner, D.O.NPI 1538265434
Title
Director
Phone
(614) 595-1055

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7652 Sawmill Rd
Suite 321
Dublin, OH 43016-9296

Mailing address

PO Box 920
Suite 321
Dublin, OH 43017-6920
Phone (614) 595-1055

Other identifiers 1

IdentifierTypeStateIssuer
2958232MedicaidOH

National Provider Directory

National Provider Directory

Locations

7652 Sawmill Rd
Dublin, OH 43016
Phone (614) 390-2764

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1841431475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920",
            "address_2": "SUITE 321",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430176920",
            "telephone_number": "614-595-1055",
            "fax_number": "614-923-7813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7652 SAWMILL RD",
            "address_2": "SUITE 321",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430169296",
            "telephone_number": "614-595-1055",
            "fax_number": "614-923-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE ADVANTAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "GAVIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-595-1055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2958232",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.