Active NPI
Westerville Physician Inc.
Doing business as Capital Park Famly Health Center
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1871529149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WESTERVILLE PHYSICIAN INC.
- Doing business as
- Capital Park Famly Health Center
- Practice address
- 2150 Agler Rd
Columbus, OH 43224-4523 - Phone
- (614) 416-4325
- Fax
- (614) 416-4320
- NPI assigned
- Jun 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sandra Willis
- Title
- Finance Supervisor
- Phone
- (614) 546-4232
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2150 Agler Rd
Columbus, OH 43224-4523
Mailing address
2150 Agler Rd
Columbus, OH 43224-4523
Phone (614) 416-4325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2493289 | Medicaid | OH | |
| 0113230 | Other | OH | UNITED HEALTH CARE |
| 2550645 | Medicaid | OH |
Other names 1
- Capital Park Famly Health Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151193600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871529149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 AGLER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432244523",
"telephone_number": "614-416-4325",
"fax_number": "614-416-4320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 AGLER RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432244523",
"telephone_number": "614-416-4325",
"fax_number": "614-416-4320"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERVILLE PHYSICIAN INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-25",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "WILLIS",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "FINANCE SUPERVISOR",
"authorized_official_telephone_number": "614-546-4232",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2493289",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "0113230",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2550645",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Capital Park Famly Health Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Columbus, OH
- Abigayle P Westerheide, PA-C
- Krista Westerheide, RN
- Grace E. Westerlund, APRN-CNP
- Western Home Health Care (western home health care inc)
- Westerville Physician Inc. (Capital Park Family Health Center)
- Westerville Road Pharmacy, LLC
- Kathleen M. Westfall, APRN.CNP
- Zoe Renee Westfall, DO
- Jaelyn Rebekah Westfield, PHARMD
- Westgate Adult Day Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.