| Central Ohio Nutrition Center, Inc | |
|
9039 Antares Ave Ste C, Columbus, OH 43240-4067 | |
| (614) 847-6008 | |
| (614) 847-6021 |
| Full Name | Central Ohio Nutrition Center, Inc |
|---|---|
| Type | Facility |
| Speciality | Family Medicine |
| Location | 9039 Antares Ave Ste C, Columbus, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528245685 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sharrie A Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689751372 PECOS PAC ID: 1153368931 Enrollment ID: I20050413000499 |
| Provider Name | Teresa L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629028303 PECOS PAC ID: 7517971567 Enrollment ID: I20060130000677 |
| Provider Name | Judith Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407975790 PECOS PAC ID: 9931206430 Enrollment ID: I20070517000416 |
| Provider Name | Robert K May |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073577755 PECOS PAC ID: 1658465679 Enrollment ID: I20070921000428 |
| Provider Name | John Thomas Broyles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902869373 PECOS PAC ID: 7719071737 Enrollment ID: I20070921000451 |
| Provider Name | Deborah L Hoehn |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1770816886 PECOS PAC ID: 7911044482 Enrollment ID: I20091103000006 |
| Provider Name | Robbin S Mcsurley |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1629201447 PECOS PAC ID: 2365584166 Enrollment ID: I20100115000831 |
| Provider Name | Kristi Phillips-burkhart |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1811292733 PECOS PAC ID: 9234313701 Enrollment ID: I20110407000049 |
| Provider Name | Lindsey C Luther |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932541042 PECOS PAC ID: 3577707959 Enrollment ID: I20130925000541 |
| Provider Name | Christine A Salem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033555644 PECOS PAC ID: 8921232851 Enrollment ID: I20131009000706 |
| Provider Name | Andrea D Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114358231 PECOS PAC ID: 7416187521 Enrollment ID: I20150324001540 |
| Provider Name | Judy Loper |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1295111938 PECOS PAC ID: 0648587212 Enrollment ID: I20150915000208 |
| Provider Name | Kaylene A Blalock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174996375 PECOS PAC ID: 2163726761 Enrollment ID: I20160202000785 |
| Provider Name | Kathy J Foreman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922268150 PECOS PAC ID: 9436383593 Enrollment ID: I20160331001144 |
| Provider Name | Deanna E Kunkel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700234077 PECOS PAC ID: 5991093981 Enrollment ID: I20161006000993 |
| Provider Name | Julie M Schulkers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235659194 PECOS PAC ID: 8224302120 Enrollment ID: I20170915001237 |
| Provider Name | Emily Ann Doudna |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1194244632 PECOS PAC ID: 6406114362 Enrollment ID: I20171222000797 |
| Provider Name | Stevia Brigitte Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609356484 PECOS PAC ID: 3779833090 Enrollment ID: I20180907001484 |
| Provider Name | Lisa M Wong |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881104610 PECOS PAC ID: 5991036733 Enrollment ID: I20191009002932 |
| Provider Name | Stacey Cruikshank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487289286 PECOS PAC ID: 4486083656 Enrollment ID: I20200409001205 |
| Provider Name | Kristi Phillips-burkhart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811292733 PECOS PAC ID: 9234313701 Enrollment ID: I20200506002484 |
| Provider Name | Christina Cotterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295351872 PECOS PAC ID: 2860811767 Enrollment ID: I20200925001946 |
| Provider Name | Pamela A Gruenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679686356 PECOS PAC ID: 2668468828 Enrollment ID: I20210413002682 |
| Provider Name | Katie C Worsham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629662986 PECOS PAC ID: 1759784861 Enrollment ID: I20210727003835 |
| Provider Name | Diane L Williams |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134617756 PECOS PAC ID: 9739573692 Enrollment ID: I20220218002099 |
| Provider Name | Jennifer Thompson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1285343566 PECOS PAC ID: 7416498860 Enrollment ID: I20240925002056 |
| Mailing Address | Practice Location Address |
|---|---|
| Central Ohio Nutrition Center, Inc 450 Alkyre Run Ste 120, Westerville, OH 43082-6910 Ph: (614) 847-6008 | Central Ohio Nutrition Center, Inc 9039 Antares Ave Ste C, Columbus, OH 43240-4067 Ph: (614) 847-6008 |