Organization Active NPI

Katherine M Cyran MD LLC

  • Diagnostic Radiology Physician
  • Columbus, OH
National Provider Identifier
1942570627
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35068874 Issued in OH
Legal business name
KATHERINE M CYRAN MD LLC
Practice address
3360 Tremont Rd
Columbus, OH 43221-2111
Phone
(614) 459-1596
Fax
(614) 459-1471
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Katherine M Cyran, MDNPI 1801868351
Title
Physician Owner
Phone
(614) 208-6263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 35068874 OH Primary

Addresses

Primary practice location

3360 Tremont Rd
Columbus, OH 43221-2111

Mailing address

3360 Tremont Rd
Columbus, OH 43221-2111
Phone (614) 459-1596

Other identifiers 1

IdentifierTypeStateIssuer
0254013MedicaidOH

Other names 1

  • The Katherine M Cyran MD Breast Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000379 OH Part B Supplier - Clinic/Group Practice 2567623150 Receives reassigned benefits from 3 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

3360 Tremont Rd
Ste 130
Columbus, OH 43221
Phone (614) 208-6263

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1942570627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3360 TREMONT RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212111",
            "telephone_number": "614-459-1596",
            "fax_number": "614-459-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3360 TREMONT RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212111",
            "telephone_number": "614-459-1596",
            "fax_number": "614-459-1471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE M CYRAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "CYRAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "614-208-6263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35068874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0254013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Katherine M Cyran MD Breast Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.