Individual provider Active NPI

Thomas L Blosser, M.D.

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1851378061
Registry record updated Mar 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-04-7748 Issued in OH
Practice address
655 Africa Rd
Westerville, OH 43082-9808
Phone
(614) 326-5276
Fax
(614) 865-2179
NPI assigned
Dec 29, 2005
Last updated
Mar 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35-04-7748 OH Primary

Addresses

Primary practice location

655 Africa Rd
Westerville, OH 43082-9808

Mailing address

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 326-5276

Other practice location 1

655 Africa Rd
Westerville, OH 43082-9808
Phone (614) 326-2672

Other identifiers 1

IdentifierTypeStateIssuer
0542649MedicaidOH

Other names 1

  • Thomas Laurence Blosser Other 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040818000219 OH Practitioner - Family Practice 7113990037 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Dec 1, 2000 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2017 Accepting new patients
Ohiohealth Corporation CurrentSince Jan 1, 2017 Accepting new patients
Ohiohealth Corporation Family Medicine Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Dec 1, 2000 Accepting new patients
Medcentral Health System PastSince Mar 1, 2014 Accepting new patients

Locations

3311 Tremont Rd
Ste 101
Columbus, OH 43221
Phone (614) 457-4806

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

697 Thomas Ln
Columbus, OH 43214
Phone (614) 566-5414

Dept L3652
Columbus, OH 43260

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

570 Polaris Pkwy
Ste 250
Westerville, OH 43082
Phone (614) 459-0216

655 Africa Rd
Westerville, OH 43082

Organizations & group practices 6

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": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1851378061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-326-5276",
            "fax_number": "614-865-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 AFRICA RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829808",
            "telephone_number": "614-326-5276",
            "fax_number": "614-865-2179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "655 Africa Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430829808",
            "country_code": "US",
            "telephone_number": "614-326-2672",
            "fax_number": "614-326-2687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOSSER",
        "first_name": "THOMAS",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-04-7748",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0542649",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THOMAS",
            "last_name": "BLOSSER",
            "middle_name": "LAURENCE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.