Organization Active NPI

Bariatric Specialists of Ohio

  • Surgery Physician
  • Groveport, OH
National Provider Identifier
1992890461
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BARIATRIC SPECIALISTS OF OHIO
Practice address
3964 Hamilton Square Blvd.
Groveport, OH 43125-9119
Phone
(614) 834-6980
Fax
(614) 834-6950
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeff Kauderer
Title
Director
Phone
(614) 834-6802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

3964 Hamilton Square Blvd.
Groveport, OH 43125-9119

Mailing address

3964 Hamilton Square Blvd.
Groveport, OH 43125-9119
Phone (614) 834-6980

National Provider Directory

National Provider Directory

Locations

231224 Momentum Pl
Chicago, IL 60689

3964 Hamilton Sq Blvd
Detroit, MI 48277

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992890461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3964 HAMILTON SQUARE BLVD.",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259119",
            "telephone_number": "614-834-6980",
            "fax_number": "614-834-6950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3964 HAMILTON SQUARE BLVD.",
            "city": "GROVEPORT",
            "state": "OH",
            "postal_code": "431259119",
            "telephone_number": "614-834-6980",
            "fax_number": "614-834-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARIATRIC SPECIALISTS OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUDERER",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-834-6802",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groveport, OH

Sources for this page

  • 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.