CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC (NPI# 1194965699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194965699 |
| Entity Type | Organization |
| Organization Name | CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC |
| Other Organization Name | CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC |
| Practice Address |
55 Dillmont Dr Suite 100 Columbus OH 43235-6458 |
| Practice Telephone | 6148393040 |
| Practice Fax Number | 6148393041 |
| Mailing Telephone | 6148393040 |
| Mailing Fax Number | 6148393041 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2014-11-19 |
| Authorized Official Name | DR. WILLIAM BYRON ZIPF (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6148393040 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0373760 | 05 | |
| UPIN | A79972 | 01 | |
| OH | MEDICARE INDIVIDUAL | Z10493253 | 01 |
| OH | 2044488 | 05 | |
| UPIN | E21314 | 01 | |
| OH | MEDICARE GROUP | CE9314531 | 01 |
| Other Name | Type Code |
|---|---|
| CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC | Former Legal Business Name - Organization |
| Street Address |
55 DILLMONT DR SUITE 100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43235-6458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871562512 | Karin Moorma | Specialist | 55 Dillmont Dr, Suite 102, Columbus, OH 43235-6458 | 2006-03-15 |
| 1528452356 | Jeteia Lynna Benson | Nurse Practitioner | 55 Dillmont Dr, Suite 100, Columbus, OH 43235-6458 | 2015-03-18 |
| 1407096324 | Megan Jaycox | Dietitian, Registered | 55 Dillmont Dr, Suite 100, Columbus, OH 43235-6458 | 2009-03-05 |
| 1235331703 | Patricia S Graves | Nurse Practitioner | 55 Dillmont Dr, Ste 100, Columbus, OH 43235-6458 | 2007-06-05 |
| 1154544823 | Crosswoods Women's Health, Inc. | Specialist | 55 Dillmont Dr, Suite 102, Columbus, OH 43235-6458 | 2007-04-11 |
| 1801974951 | William Byron Zipf | Specialist | 55 Dillmont Dr, 100, Columbus, OH 43235 | 2006-11-02 |
| 1932121480 | Jennifer S Dyer | Pediatrics | 55 Dillmont Dr, Suite 100, Columbus, OH 43235-6458 | 2006-07-24 |
| 1205805520 | Carol Svensson Jenkins | Specialist | 55 Dillmont Dr, Suite 102, Columbus, OH 43235-6458 | 2006-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323261 | Herbert G Gebert | Chore Provider | 864 Garehouse Lane, Columbus, OH 43235 | 2020-10-12 |
| 1306488119 | Emily Belcher | Case Manager/Care Coordinator | 2540 Billingsley Road, Columbus, OH 43235 | 2019-10-14 |
| 1013576677 | Sara Michel | Behavior Technician | 200 East Campus View Boulevard, Suite 200, Columbus, OH 43235 | 2019-06-07 |
| 1902368756 | Ability Chiropractic Lewis Center LLC | Chiropractor | 6329 Pullman Dr, Lewis Center, OH 43235 | 2019-04-02 |
| 1003390790 | Keith L Warren Sr. | Counselor | 7400 Huntington Dr, 7400 Huntington Dr, Columbus, OH 43235 | 2018-09-19 |
| 1497240907 | Mary Crouser | Case Manager/Care Coordinator | 7690 New Market Way, Columbus, OH 43235 | 2018-06-27 |
| 1164910923 | Sarah Clark | Dietitian, Registered | 8100 Ravines Edge Court, Columbus, OH 43235 | 2018-04-27 |
| 1700394921 | Amanda Daniel | Specialist/Technologist | 8375 Freedom Crossing Rd Unit J, Columbus, OH 43235 | 2018-01-22 |
| 1528579075 | Inxite Florida LLC | Case Management | 1 E Campus View Blvd Ste 320, Columbus, OH 43235 | 2017-10-23 |
| 1194243170 | Ohio Medical Transportation, Inc. | Ambulance | 2827 West Dublin-granville Road, Columbus, OH 43235 | 2017-08-30 |
| Find all providers in zip 43235 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891327755 | Dejuan Julius Nelson | Specialist | 4937 Mcallister Ave, Columbus, OH 43227-1447 | 2020-02-09 |
| 1306481676 | Big Heads Barber Salon | Specialist | 6161 Busch Blvd Ste 56, Columbus, OH 43229-2548 | 2019-11-11 |
| 1538723945 | Nakia Frazier | Specialist | 4913 Festival St, Columbus, GA 31907-6065 | 2019-05-01 |
| 1033772868 | Kimberly Gore Salon Inc | Specialist | 2534 Wynnton Rd Ste B, Columbus, GA 31906-2180 | 2019-04-17 |
| 1184108375 | Crystal Denise Allen | Specialist | 3029 Cleveland Ave, Columbus, OH 43224-4421 | 2018-09-24 |
| 1770074445 | Robert Tavani | Specialist | 1203 E Broad St, Columbus, OH 43205-1404 | 2018-05-29 |
| 1689191991 | Columbus Tutoring Services, LLC | Specialist | 2700 E Main St Ste 211, Columbus, OH 43209-2536 | 2017-08-28 |
| 1265985352 | Tim Jones | Specialist | 1527 Eastmeadow Pl, Columbus, OH 43235-7535 | 2016-07-26 |
| 1790148849 | Gabriel Woon | Specialist | 913 25th St., Columbus, IN 47201 | 2016-04-05 |
| 1487059606 | Wilbert Herschel Turner IIi | Specialist | 1160 Steelwood Rd, Columbus, OH 43212-1356 | 2014-10-30 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.