Gregory John Jungwirth
Family Medicine

Address: 700 Ackerman Rd Ste 570, Columbus, OH 43202-1579
Phone: 6142932700

Gregory John Jungwirth (NPI# 1407238207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1407238207
Entity Type Individual
Full Name Gregory John Jungwirth
Credential MD
Gender Male
Practice Address 700 Ackerman Rd Ste 570
Columbus
OH 43202-1579
Practice Telephone 6142932700
Mailing Address Po Box 34876
Seattle
WA 98124-1876
Mailing Telephone 4256565412
Mailing Fax Number 4256564096
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2015-06-29
Last Update Date 2018-09-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207Q00000X Family Medicine Allopathic & Osteopathic Physicians 35.134331 OH
No 207Q00000X Family Medicine Allopathic & Osteopathic Physicians MD60777468 WA
No 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care ML60574269 WA

Physician Overview

NPI 1407238207
PAC ID by PECOS 4981970993
Professional Enrollment ID I20181015001798
Full Name Gregory John Jungwirth
Organization Legal Name OSU FAMILY PRACTICE SERVICES
Phone Number 6142932700
Gender M
Medical School OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year 2015
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 9032023874
Number of Group Practice Members 124
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
360085 OHIO STATE UNIVERSITY STATE HEALTH SYSTEM
360242 JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

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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
1922464437 Town Street Medical, LLC Family Medicine 1547 W Broad St, Columbus, OH 43222-1043 2016-01-13
1679954911 Charles Hutchinson Family Medicine 8239 Lantern Ct, Columbus, GA 31904-1675 2015-06-12
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Office Location

Street Address 700 ACKERMAN RD STE 570
City COLUMBUS
State OH
Zip Code 43202-1579

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609353218 Attache Home Care, LLC Home Health 10 E. Weber Rd., Suite 202, Columbus, OH 43202 2018-07-26
1699221234 Hatem Mowafy I Internal Medicine 12 Avenue Street Ross Hear Hospital, Columbus, OH 43202 2016-09-01
1578954764 Andrew Burrows Home Health Aide 2564 Deming Ave, Columbus, OH 43202 2015-02-10
1245525559 Kathryn Anne Richardson Specialist/Technologist 3430 Ohiohealth Parkway, Columbus, OH 43202 2011-06-15
1760777395 Erin Vance Pharmacist 3430 Ohiohealth Pkwy, Columbus, OH 43202 2011-06-11
1588974083 Cdi Long Term Care LLC Pharmacy 11 W Duncan St., Columbus, OH 43202 2010-10-18
1679880082 Betty Jean Howard Counselor 42 Tompkins Avenue, Columbus, OH 43202 2010-09-07
1265657134 Christina T. Liscynesky Internal Medicine 700 Ackerman Road, Suite 385, Columbus, OH 43202 2007-04-16
1275647364 Lynne V. Abruzzo Pathology 680 Ackerman Rd, Room D423, Columbus, OH 43202 2006-08-18
1548282155 William Robert Adrion Family Medicine 2514 Summit St, Columbus, OH 43202 2006-07-24
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Competitor

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City COLUMBUS
Zip Code 43202

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Dataset Information

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.

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