Individual provider Active NPI

Mary Camille Laingen, ATC

  • Athletic Trainer
  • Columbus, OH
National Provider Identifier
1912182015
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-2710 Issued in OH
Practice address
535 Irving Schottenstein Dr
Woody Hayes Athletic Center
Columbus, OH 43210-1044
Phone
(614) 292-1165
Fax
(614) 292-3258
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-2710 OH Primary

Addresses

Primary practice location

535 Irving Schottenstein Dr
Woody Hayes Athletic Center
Columbus, OH 43210-1044

Mailing address

168 E Longview Ave
Columbus, OH 43202-1236
Phone (419) 778-9018

Other names 1

  • Ms. Mary Camille Eaton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT-2710OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199750400000",
    "number": "1912182015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 E LONGVIEW AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021236",
            "telephone_number": "419-778-9018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 IRVING SCHOTTENSTEIN DR",
            "address_2": "WOODY HAYES ATHLETIC CENTER",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432101044",
            "telephone_number": "614-292-1165",
            "fax_number": "614-292-3258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAINGEN",
        "first_name": "MARY",
        "middle_name": "CAMILLE",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT-2710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "EATON",
            "middle_name": "CAMILLE",
            "prefix": "MS.",
            "credential": "ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 8, 2008; 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.