NPIMap

Organization Active NPI

Main Street Family Medicine ,LLC

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1922163575
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35085235 Issued in OH
Legal business name
MAIN STREET FAMILY MEDICINE ,LLC
Practice address
1336 E Main St
Columbus, OH 43205-2081
Phone
(614) 253-8537
Fax
(614) 253-8539
NPI assigned
Dec 26, 2006
Last updated
May 14, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Dr. Chandre C Gowda, M.D.NPI 1235162322
Title
Physician
Phone
(614) 253-8537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35085235 OH Primary

Addresses

Primary practice location

1336 E Main St
Columbus, OH 43205-2081

Mailing address

881 E Main St
Columbus, OH 43205-1713
Phone (614) 253-8537

National Provider Directory

National Provider Directory

Locations

881 E Main St
Columbus, OH 43205
Phone (614) 253-8537

Practitioners & affiliated clinicians

Practitioners 8

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": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1922163575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432051713",
            "telephone_number": "614-253-8537",
            "fax_number": "614-253-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432052081",
            "telephone_number": "614-253-8537",
            "fax_number": "614-253-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET FAMILY MEDICINE ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "GOWDA",
        "authorized_official_first_name": "CHANDRE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "614-253-8537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35085235",
            "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 May 14, 2015; 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.