Organization Active NPI

Metropolitan Family Care, Inc.

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1912066499
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35060121 Issued in OH
Legal business name
METROPOLITAN FAMILY CARE, INC.
Practice address
3341 E Livingston Ave Ste D
Suite D
Columbus, OH 43227-1949
Phone
(614) 237-1067
Fax
(614) 237-2655
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Authorized official

Name
Ms. Shirfa Tyberg, MD
Title
President
Phone
(614) 237-1067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35060121 OH Primary

Addresses

Primary practice location

3341 E Livingston Ave Ste D
Suite D
Columbus, OH 43227-1949

Mailing address

3341 E Livingston Ave Ste D
Columbus, OH 43227-1949
Phone (614) 237-1067

Other identifiers 1

IdentifierTypeStateIssuer
0802000MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041203000211 OH Part B Supplier - Clinic/Group Practice 1355307141 Receives reassigned benefits from 4 practitioners
Practice locations: Reynoldsburg, OH

National Provider Directory

National Provider Directory

Locations

7094 E Main St
Reynoldsburg, OH 43068
Phone (614) 237-1067

Practitioners & affiliated clinicians

Practitioners 4

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": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204502400000",
    "number": "1912066499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 E LIVINGSTON AVE STE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271949",
            "telephone_number": "614-237-1067",
            "fax_number": "614-237-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3341 E LIVINGSTON AVE STE D",
            "address_2": "SUITE D",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432271949",
            "telephone_number": "614-237-1067",
            "fax_number": "614-237-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN FAMILY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2008-03-03",
        "status": "A",
        "authorized_official_last_name": "TYBERG",
        "authorized_official_first_name": "SHIRFA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-237-1067",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35060121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0802000",
            "state": "OH"
        }
    ],
    "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 Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.