Individual provider Active NPI

Susan Frost, CNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1982604823
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
NP01621 Issued in OH
Practice address
750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553
Phone
(614) 434-2400
Fax
(614) 434-2499
NPI assigned
Jul 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN155439 OH
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NP01621 OH Primary

Addresses

Primary practice location

750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553

Mailing address

750 Mount Carmel Mall
Suite 100
Columbus, OH 43222-1553
Phone (614) 434-2400

Other identifiers 1

IdentifierTypeStateIssuer
2074062MedicaidOH

Other names 1

  • Susan Boch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000391 OH Practitioner - Nurse Practitioner 5092724260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Obstetricians - Gynecologists, Inc.Group PAC ID 5597666453, 27 clinicians

Practice addresses (Care Compare)

1125 Yard St
Suite 200
Grandview, OH 43212-3930
Phone (614) 434-2400

Hospital & facility affiliations

  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Mount Carmel East & West Hospital, Columbus, OH, CCN 360035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP01621OHMDObstetrics & Gynecology Nurse Practitioner
RN155439OHMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Obstetricians - Gynecologists, Inc. CurrentSince Dec 8, 1997 Accepting new patients
Columbus Obstetricians - Gynecologists, Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

1125 Yard St
#200
Columbus, OH 43212

6075 E Broad St
Columbus, OH 43213
Phone (614) 759-8660

775 W Broad St
Ste 200
Columbus, OH 43222
Phone (614) 627-1610

7450 Hospital Dr
Ste 280
Dublin, OH 43016
Phone (614) 221-5189

5775 Perimeter Dr
Ste 220
Dublin, OH 43017

1125 Yard St
Ste 200
Grandview Heights, OH 43212
Phone (614) 434-2421

3750 Ridge Mill Dr
Hilliard, OH 43026
Phone (614) 228-5451

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1982604823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 100",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-434-2400",
            "fax_number": "614-434-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROST",
        "first_name": "SUSAN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-21",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "RN155439",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "NP01621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2074062",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BOCH",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.