MARK JOHN RASTETTER (NPI# 1831397876) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831397876 |
| Entity Type | Individual |
| Full Name | MARK JOHN RASTETTER |
| Credential | MD |
| Practice Address |
2000 Kenny Rd Columbus OH 43221-3555 |
| Mailing Address |
700 Ackerman Rd Ste 570 Columbus OH 43202-1579 |
| Practice Telephone | 6142939777 |
| Practice Fax Number | 6142939776 |
| Mailing Telephone | 6142932614 |
| Mailing Fax Number | 6142937001 |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35132601 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 036123137 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125051088 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1044 W. Mozart, Suite 203, Chicago, IL 60623 | 7732928300 | 7732922601 |
| Street Address |
2000 KENNY RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43221-3555 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629052709 | Kathi J Kemper | Pediatrics | 2000 Kenny Rd, Columbus, OH 43221-3502 | 2005-12-02 |
| 1871134379 | Ronald Lee Hill | Massage Therapist | 2000 Kenny Rd, Columbus, OH 43221-3555 | 2019-10-05 |
| 1023560075 | Arkenia Miles-white | Massage Therapist | 2000 Kenny Rd, Columbus, OH 43221-3555 | 2016-10-25 |
| 1730538331 | Selim Sheikh | Family Medicine | 2000 Kenny Rd, Columbus, OH 43221-3555 | 2016-06-06 |
| 1164877700 | Caitlyn Shaver | Massage Therapist | 2000 Kenny Rd, Columbus, OH 43221-3555 | 2016-05-02 |
| 1437511987 | Kristin S. Robinson | Internal Medicine | 2000 Kenny Rd, Columbus, OH 43221-3555 | 2016-03-23 |
| 1114398021 | Onalee Volio | Dietitian, Registered | 2000 Kenny Rd, Columbus, OH 43221-3555 | 2015-10-19 |
| 1538546031 | Katherine Summerford | Massage Therapist | 2000 Kenny Rd, Columbus, OH 43221-3555 | 2015-05-04 |
| 1699164855 | Lisa Thornton | Psychologist | 2000 Kenny Rd, Columbus, OH 43221-3555 | 2015-01-12 |
| 1053721225 | Elaine Wiese | Massage Therapist | 2000 Kenny Rd, Columbus, OH 43221-3502 | 2014-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
| 1215405691 | Mary E Altiero | Registered Nurse | 3041 Mountview Rd, Columbus, OH 43221 | 2018-11-05 |
| 1396157228 | Heavenly Help LLC | Home Health | 2903 Brandon Road, Columbus, OH 43221 | 2014-05-27 |
| 1679824767 | Danielle Leigh Prater | Occupational Therapy Assistant | 5222 York County Rd., Columbus, OH 43221 | 2012-09-28 |
| 1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
| 1033494125 | Katherine Ann Friz | Mechanotherapist | 1840 Zollinger Rd Suite A, Columbus, OH 43221 | 2011-10-20 |
| 1942513908 | Adelaide Wilma Koestner | Pathology | 3175 Tremont Rd., #410, Columbus, OH 43221 | 2010-07-20 |
| 1003006909 | Julia Ann Pinkham | Acupuncturist | 2170 Riverside Dr, Columbus, OH 43221 | 2007-07-26 |
| 1750592796 | Christopher Scott Mckenzie | Physical Therapist | The Ohio State University Sports Medicine Center, 2050 Kenny Rd. Morehouse Building, Columbus, OH 43221 | 2007-05-24 |
| 1538379169 | Melissa Shearer Kidder | Physical Therapist | Osu Sports Medicine Center, 2050 Kenny Road, Columbus, OH 43221 | 2007-05-23 |
| Find all providers in zip 43221 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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| 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.