Organization Active NPI

Electrophysiology and Pacing Interventionalists, LLC

  • Cardiovascular Disease Physician
  • Columbus, OH
National Provider Identifier
1912006719
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35061758 Issued in OH
Legal business name
ELECTROPHYSIOLOGY AND PACING INTERVENTIONALISTS, LLC
Practice address
3433 Agler Rd
Suite 2400
Columbus, OH 43219-3387
Phone
(614) 428-5553
Fax
(614) 428-5515
NPI assigned
Sep 21, 2006
Last updated
Apr 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Wende Jeanne Swanson
Title
C.O.O.
Phone
(614) 428-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35061758 OH Primary

Addresses

Primary practice location

3433 Agler Rd
Suite 2400
Columbus, OH 43219-3387

Mailing address

3433 Agler Rd
Suite 2400
Columbus, OH 43219-3387
Phone (614) 428-5553

Other identifiers 2

IdentifierTypeStateIssuer
2817492MedicaidOH
1528009016OtherINDIVIDUAL NPI NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040519000808 OH Part B Supplier - Clinic/Group Practice 1254322241 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Columbus, OH; Newark, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1005610Electrophysiology and Pacing Interventionalists, L3433 Agler Road Suite 2400, Columbus, OH 43219Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations

3433 Agler Rd
Ste 2400
Columbus, OH 43219
Phone (614) 428-5553

59 S Terrace Ave
Newark, OH 43055
Phone (614) 252-7561

2 Commercial Ave
Washington Court House, OH 43160
Phone (614) 428-5553

Practitioners & affiliated clinicians

Practitioners 1

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": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365033600000",
    "number": "1912006719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD",
            "address_2": "SUITE 2400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193387",
            "telephone_number": "614-428-5553",
            "fax_number": "614-428-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 AGLER RD",
            "address_2": "SUITE 2400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193387",
            "telephone_number": "614-428-5553",
            "fax_number": "614-428-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELECTROPHYSIOLOGY AND PACING INTERVENTIONALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2013-04-04",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "WENDE",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "C.O.O.",
        "authorized_official_telephone_number": "614-428-5553"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35061758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2817492",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1528009016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.