Organization Active NPI

Kristin L Oaks DO Inc

  • Family Medicine Physician
  • Worthington, OH
National Provider Identifier
1922163161
Registry record updated Apr 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-00-7232-0 Issued in OH
Legal business name
KRISTIN L OAKS DO INC
Practice address
933 High St Ste 116
Worthington, OH 43085-4046
Phone
(614) 785-9333
Fax
(614) 785-9335
NPI assigned
Dec 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2008

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

Authorized official

Name
Dr. Kristin Lieser Oaks, DO
Title
Owner Physician
Phone
(614) 785-9333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34-00-7232-0 OH Primary

Addresses

Primary practice location

933 High St Ste 116
Worthington, OH 43085-4046

Mailing address

933 High St Ste 116
Worthington, OH 43085-4046
Phone (614) 785-9333

Other identifiers 2

IdentifierTypeStateIssuer
2291256MedicaidOH
000000386699OtherOHANTHEM

National Provider Directory

National Provider Directory

Locations

770 Jasonway Ave
Ste 2A
Columbus, OH 43214
Phone (614) 457-8888

933 High St
Worthington, OH 43085
Phone (614) 785-9333

885 High St
Ste 106
Worthington, OH 43085
Phone (614) 785-9333

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207526400000",
    "number": "1922163161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 HIGH ST STE 116",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854046",
            "telephone_number": "614-785-9333",
            "fax_number": "614-785-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 HIGH ST STE 116",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430854046",
            "telephone_number": "614-785-9333",
            "fax_number": "614-785-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIN L OAKS DO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-04-07",
        "status": "A",
        "authorized_official_last_name": "OAKS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "LIESER",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "614-785-9333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-7232-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2291256",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000386699",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.