Active NPI
Heather Caroline Koelling, M.D.
- Ophthalmology Physician
- Columbus, OH
National Provider Identifier
1962573808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 35067131
- Practice address
- 2929 Kenny Road
Suite 150
Columbus, OH 43221-2415 - Phone
- (614) 488-8000
- Fax
- (614) 488-8610
- NPI assigned
- Nov 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 35067131 | OH | Primary |
Addresses
Primary practice location
2929 Kenny Road
Suite 150
Columbus, OH 43221-2415
Mailing address
2929 Kenny Road
Suite 150
Columbus, OH 43221-2415
Phone (614) 488-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2004780 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35067131 | OH | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio Health Corporation | Past | Accepting new patients | |
| Ohio Health Corporation | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Columbus, OH
- NPI 1134159833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1962573808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 KENNY ROAD",
"address_2": "SUITE 150",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212415",
"telephone_number": "614-488-8000",
"fax_number": "614-488-8610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 KENNY ROAD",
"address_2": "SUITE 150",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432212415",
"telephone_number": "614-488-8000",
"fax_number": "614-488-8610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOELLING",
"first_name": "HEATHER",
"middle_name": "CAROLINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-13",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OH",
"license": "35067131",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2004780",
"state": "OH"
}
],
"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 Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.