Active NPI
Surafel Zegeye Ejigu
- Social Worker
- Columbus, OH
National Provider Identifier
1912496381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.1803086
- Practice address
- 420 N James Rd
Columbus, OH 43219 - Phone
- (614) 257-5200
- NPI assigned
- May 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1803086 | OH | Primary |
Addresses
Primary practice location
420 N James Rd
Columbus, OH 43219
Mailing address
4172 E Mound St
Columbus, OH 43227-1761
Phone (614) 962-3856
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1803086 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1912496381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4172 E MOUND ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432271761",
"telephone_number": "614-962-3856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 N JAMES RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43219",
"telephone_number": "614-257-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EJIGU",
"first_name": "SURAFEL",
"middle_name": "ZEGEYE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-01",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1803086",
"primary": true
}
],
"identifiers": [],
"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 Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.