Individual provider Active NPI

James G Sivard Jr., MD

  • Surgery Physician
  • Columbus, OH
National Provider Identifier
1992707475
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35042502 Issued in OH
Practice address
500 Thomas LN
Suite 2C
Columbus, OH 43214-3902
Phone
(614) 566-2370
Fax
(614) 533-0436
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35042502 OH Primary

Addresses

Primary practice location

500 Thomas LN
Suite 2C
Columbus, OH 43214-3902

Mailing address

5350 Frantz Rd
Dublin, OH 43016-4259

Other identifiers 1

IdentifierTypeStateIssuer
0433972MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsivard32131@direct.ohiohealth.com OhioHealth Physician Group

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101025000804 OH Practitioner - General Surgery 8729117858 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35042502OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Jul 29, 2011 Accepting new patients
Columbus Surgical Specialists Inc Surgery CurrentSince Jul 1, 1996 Accepting new patients
Ohiohealth Corporation CurrentSince Jul 29, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

3555 Olentangy River Rd
#2000
Columbus, OH 43214
Phone (614) 263-1865

500 Thomas Ln
Ste 2C
Columbus, OH 43214
Phone (614) 566-2370

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

3555 Olentangy River Rd
Ste 2000
Columbus, OH 43214
Phone (614) 263-1865

Dept L3652
Columbus, OH 43260

5350 Frantz Rd
Dublin, OH 43016

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1992707475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 FRANTZ RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 THOMAS LN",
            "address_2": "SUITE 2C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143902",
            "telephone_number": "614-566-2370",
            "fax_number": "614-533-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVARD",
        "first_name": "JAMES",
        "middle_name": "G",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35042502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433972",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsivard32131@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "500 Thomas Ln",
            "address_2": "Ste 2C",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432143902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.