Organization Active NPI

James J Sardo MD Inc

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Westerville, OH
National Provider Identifier
1861548554
Registry record updated Aug 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
JAMES J SARDO MD INC
Practice address
597 Executive Campus Dr
Westerville, OH 43082
Phone
(614) 796-0338
Fax
(614) 890-5485
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2018

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

Authorized official

Name
Roxann Chesser
Title
Credentialing Specialist
Phone
(614) 796-0338

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X Primary
Ambulatory Surgical Clinic/Center 261QA1903X 35-075612 OH
Rehabilitation Hospital Unit 273Y00000X 35-075612 OH
Skilled Nursing Facility 314000000X 35-075612 OH

Addresses

Primary practice location

597 Executive Campus Dr
Westerville, OH 43082

Mailing address

PO Box 300
New Albany, OH 43054-0300
Phone (614) 796-0338

Other practice location 1

600 N Pickaway St
Suite 107
Circleville, OH 43113-2409
Phone (740) 474-2782

Other practice location 2

600 N Pickaway St
Suite 107
Circleville, OH 43113-2409
Phone (740) 474-2782

Other identifiers 1

IdentifierTypeStateIssuer
2127102MedicaidOH

National Provider Directory

National Provider Directory

Locations

600 N Pickaway St
Ste 5
Circleville, OH 43113
Phone (740) 474-2782

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534896000000",
    "number": "1861548554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 300",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430540300",
            "telephone_number": "614-796-0338",
            "fax_number": "614-890-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 EXECUTIVE CAMPUS DR",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "43082",
            "telephone_number": "614-796-0338",
            "fax_number": "614-890-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Pickaway St",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431132409",
            "country_code": "US",
            "telephone_number": "740-474-2782",
            "fax_number": "740-474-2762",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 N Pickaway St",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431132409",
            "country_code": "US",
            "telephone_number": "740-474-2782",
            "fax_number": "740-474-2762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JAMES J SARDO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2018-08-22",
        "status": "A",
        "authorized_official_last_name": "CHESSER",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "614-796-0338"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "OH",
            "license": "35-075612",
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "OH",
            "license": "35-075612",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "35-075612",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2127102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2018; 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.