Organization Active NPI

Westerville Physician Inc.

Doing business as Capital Park Famly Health Center

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1871529149
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2493289MedicaidOH
0113230OtherOHUNITED HEALTH CARE
2550645MedicaidOH

Other names 1

  • Capital Park Famly Health Center Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.