| City of Columbus | |
|
240 Parsons Ave Columbus OH 43215-5331 | |
| (614) 645-6447 | |
| Not Available |
| Full Name | City of Columbus |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 Parsons Ave, Columbus, Ohio |
| Authorized Official Name and Position | Teresa C. Long (HEALTH COMMISSIONER) |
| Authorized Official Contact | 6146457417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City of Columbus 240 Parsons Ave Columbus OH 43215-5331 Ph: (614) 645-6447 | City of Columbus 240 Parsons Ave Columbus OH 43215-5331 Ph: (614) 645-6447 |
| NPI Number | 1285874339 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 05/25/2017 |
| Medicare PECOS PAC ID | 0446164156 |
|---|---|
| Medicare Enrollment ID | O20040109001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285874339 | NPI | - | NPPES |
| 0266555 | Medicaid | OH | |
| 0266555 | Other | OH | MOLINA |
| XXXXXXXXX035 | Other | OH | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | () | Primary |
| Provider Name | Johanna C Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740208974 PECOS PAC ID: 9335144054 Enrollment ID: I20061002000040 |
| Provider Name | Mysheika W Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811080096 PECOS PAC ID: 3375583743 Enrollment ID: I20061019000562 |
| Provider Name | Min Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992947303 PECOS PAC ID: 9739238551 Enrollment ID: I20090527000116 |
| Provider Name | Jose a Bazan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326168832 PECOS PAC ID: 5496808610 Enrollment ID: I20090805000093 |
| Provider Name | Megan N Ackley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093199481 PECOS PAC ID: 0042528556 Enrollment ID: I20151002001346 |
| Provider Name | Stephanie J Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457668527 PECOS PAC ID: 4385056829 Enrollment ID: I20201207002901 |
| Provider Name | Catrice L Needum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629624242 PECOS PAC ID: 1052791407 Enrollment ID: I20220701002337 |
| Provider Name | Daniel Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073041703 PECOS PAC ID: 6103298211 Enrollment ID: I20230217000609 |
| Provider Name | Mikayla Lonergan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548974298 PECOS PAC ID: 0840637021 Enrollment ID: I20240322003801 |
| Provider Name | Allison M Budd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427933092 PECOS PAC ID: 1254828692 Enrollment ID: I20251017001896 |
| Provider Name | Angela Tracy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396107835 PECOS PAC ID: 0840787206 Enrollment ID: I20251017002434 |
| Provider Name | Rachel C Cranmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043445273 PECOS PAC ID: 9032608682 Enrollment ID: I20251103000321 |
| Provider Name | Jennifer L Flood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821342676 PECOS PAC ID: 5991957961 Enrollment ID: I20251110000272 |
| Provider Name | Mathew Varughese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861905796 PECOS PAC ID: 9032602370 Enrollment ID: I20251204001409 |
| Provider Name | Deianira C Leach |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124424874 PECOS PAC ID: 0749776748 Enrollment ID: I20251229003592 |
| Provider Name | Kimberly a Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780426825 PECOS PAC ID: 8820578016 Enrollment ID: I20260217001809 |
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