NPIMap

Organization Active NPI

Cmdpn Medical Group of Ohio, P.a.

  • Emergency Medicine Physician
  • Columbus, OH
National Provider Identifier
1962062067
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
CMDPN MEDICAL GROUP OF OHIO, P.A.
Practice address
175 S 3Rd St Ste 200
Columbus, OH 43215-5194
Phone
(720) 996-0522
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Authorized official

Name
John Dutton
Title
Medical Director
Phone
(916) 215-4554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

175 S 3Rd St Ste 200
Columbus, OH 43215-5194

Mailing address

175 S 3Rd St Ste 200
Columbus, OH 43215-5194

Other names 2

  • CMDPN Medical Group of Delaware, P.A. Other name
  • CMDPN, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Cirrusmd Medical Group of Delaware PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1962062067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S 3RD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S 3RD ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155194",
            "telephone_number": "720-996-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMDPN MEDICAL GROUP OF OHIO, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "916-215-4554"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMDPN Medical Group of Delaware, P.A.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CMDPN, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jun 19, 2019; 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.