NPIMap

Organization Active NPI

Gahanna Pediatrics, LLC

  • Pediatrics Physician
  • Gahanna, OH
National Provider Identifier
1982776159
Registry record updated Oct 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GAHANNA PEDIATRICS, LLC
Practice address
470 Silver Lane
Suite B
Gahanna, OH 43230
Phone
(614) 933-0980
Fax
(614) 933-0334
NPI assigned
Nov 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2012

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

Authorized official

Name
Mrs. Sheri M Kelsey
Title
Office Manager
Phone
(614) 933-0980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

470 Silver Lane
Suite B
Gahanna, OH 43230

Mailing address

470 Silver Lane
Suite B
Gahanna, OH 43230
Phone (614) 933-0980

Other identifiers 1

IdentifierTypeStateIssuer
2140150MedicaidOH

Other names 1

  • Daniel J Heinmiller MD Doing business as

National Provider Directory

National Provider Directory

Locations

470 Silver Ln
Ste B
Gahanna, OH 43230
Phone (614) 933-0980

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1982776159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 SILVER LANE",
            "address_2": "SUITE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-933-0980",
            "fax_number": "614-933-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 SILVER LANE",
            "address_2": "SUITE B",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-933-0980",
            "fax_number": "614-933-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHANNA PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-933-0980",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2140150",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniel J Heinmiller MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.