Organization Active NPI

Central Ohio Nutrition Center Inc

  • Family Medicine Physician
  • Grove City, OH
National Provider Identifier
1962654749
Registry record updated Oct 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL OHIO NUTRITION CENTER INC
Practice address
4191 Kelnor Dr
Suite 200
Grove City, OH 43123-3990
Phone
(614) 277-4893
NPI assigned
Oct 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2008

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

Authorized official

Name
Judy F Loper, PHD, RD
Title
Director
Phone
(614) 864-7225

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4191 Kelnor Dr
Suite 200
Grove City, OH 43123-3990

Mailing address

4191 Kelnor Dr
Suite 200
Grove City, OH 43123-3990
Phone (614) 277-4893

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050913000019 OH Part B Supplier - Clinic/Group Practice 8426081357 Receives reassigned benefits from 26 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Gahanna, OH; Westerville, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1223769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223769600000",
    "number": "1962654749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 KELNOR DR",
            "address_2": "SUITE 200",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233990",
            "telephone_number": "614-277-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 KELNOR DR",
            "address_2": "SUITE 200",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233990",
            "telephone_number": "614-277-4893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO NUTRITION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-12",
        "last_updated": "2008-10-12",
        "status": "A",
        "authorized_official_last_name": "LOPER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-864-7225",
        "authorized_official_credential": "PHD, RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2008; 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.