Physician Practice Organization Dba Columbus Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01032770

Legal business name

PHYSICIAN PRACTICE ORGANIZATION DBA COLUMBUS MEDICAL

Practice address

2345 N Park Dr
Columbus, IN 47203-4473

Phone

(812) 372-8293

Fax

(812) 378-6115

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Wilma L. Overfelt

Title

Practice Manager

Phone

(812) 372-8293

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982610119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 N PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034473",
            "telephone_number": "812-372-8293",
            "fax_number": "812-378-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 N PARK DR",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472034473",
            "telephone_number": "812-372-8293",
            "fax_number": "812-378-6115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PRACTICE ORGANIZATION DBA COLUMBUS MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OVERFELT",
        "authorized_official_first_name": "WILMA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "812-372-8293",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "01032770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Phillips, MS
• Veronica Phillips, RBT
• Stephanie Philyaw
• Physician Practice Organization
• Physician Practice Organization
• Physician Practice Organization,
• Physician'S Practice Organization
• Physician'S Practice Organization, Inc. D/B/a Columbus Pediatrics
• Physicians Practice Organization
• Physicians Practice Organization

• Family Medicine Physician in Columbus, IN
• Providers in Columbus, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.