Midtowne Family Practice Centre, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2242 Issued in OH

Legal business name

MIDTOWNE FAMILY PRACTICE CENTRE, LLC

Practice address

421 Georgesville Rd
Columbus, OH 43228

Phone

(614) 272-7700

Fax

(614) 272-2728

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles James Kistler Jr., DO

Title

Doctor

Phone

(614) 272-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Patrick Dillion Jr., PHYSICIAN ASSISTANT

  • Physician Assistant
  • Columbus, OH
  • NPI 1619287927
  NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1932273273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 GEORGESVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-272-7700",
            "fax_number": "614-272-2728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 GEORGESVILLE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-272-7700",
            "fax_number": "614-272-2728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWNE FAMILY PRACTICE CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "KISTLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "614-272-7700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "2242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0411067",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Midohio Cardiology and Vascular Consultants, Inc
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• Midohiohomehealthcare Healthcare
• Midtown Obstetrics & Gynecology, Inc
• Midtown Obstetrics & Gynecology, Inc
• Midwest Allergy Associates, Inc.
• Midwest Allergy Associates, Inc.
• Midwest Care Services LLC
• Midwest Chiropractic Center LLC
• Midwest Eye Consultants Ohio, Inc

• Family Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.