Active NPI
Amber Marie Vasquez, M.D.
- Infectious Disease Physician
- Columbus, OH
National Provider Identifier
1962699553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 35.121877
- Practice address
- 1581 Dodd Dr
Columbus, OH 43210-1257 - Phone
- (614) 293-4854
- Fax
- (614) 293-8102
- NPI assigned
- Sep 27, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 43493 | KY | |
| Infectious Disease Physician | 207RI0200X | 35.121877 | OH | Primary |
Addresses
Primary practice location
1581 Dodd Dr
Columbus, OH 43210-1257
Mailing address
700 Ackerman Rd
Suite 570
Columbus, OH 43202-1559
Phone (614) 293-2594
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000675457 | Other | NIS/ANTHEM | |
| 000052155X | Other | NIS/HUMANA | |
| 7100129940 | Medicaid | KY | |
| 200997810 | Medicaid | IN | |
| PENDING | Medicaid | OH | |
| 2671184 | Other | NIS/CIGNA | |
| 50029914 | Other | NIS/PHP |
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 |
|---|---|---|---|
| 35.121877 | OH | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1962699553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD",
"address_2": "SUITE 570",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-2594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1581 DODD DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101257",
"telephone_number": "614-293-4854",
"fax_number": "614-293-8102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "AMBER",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-27",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "43493",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "OH",
"license": "35.121877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NIS/ANTHEM",
"identifier": "000000675457",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NIS/HUMANA",
"identifier": "000052155X",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100129940",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200997810",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NIS/CIGNA",
"identifier": "2671184",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NIS/PHP",
"identifier": "50029914",
"state": null
}
],
"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 Aug 21, 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.