| Oh Independent Medical Group Llc | |
|
3430 Ohio Health Pkwy Columbus OH 43202-1575 | |
| (614) 566-0152 | |
| Not Available |
| Full Name | Oh Independent Medical Group Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3430 Ohio Health Pkwy, Columbus, Ohio |
| Authorized Official Name and Position | James O'brien (VP OPERATIONS, POPULATION HEALTH) |
| Authorized Official Contact | 6145444458 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oh Independent Medical Group Llc 3430 Ohiohealth Parkway Columbus OH 43202 Ph: (614) 566-0152 | Oh Independent Medical Group Llc 3430 Ohio Health Pkwy Columbus OH 43202-1575 Ph: (614) 566-0152 |
| NPI Number | 1497482111 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 08/15/2023 |
| Medicare PECOS PAC ID | 0648646034 |
|---|---|
| Medicare Enrollment ID | O20221027000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497482111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Pallavy Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740277664 PECOS PAC ID: 9133019342 Enrollment ID: I20050713001239 |
| Provider Name | Katherine Colleen Elliot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073581674 PECOS PAC ID: 1850315177 Enrollment ID: I20060125000343 |
| Provider Name | Alan J Murnane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518945559 PECOS PAC ID: 3274447271 Enrollment ID: I20090421000553 |
| Provider Name | Raymond Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932107489 PECOS PAC ID: 1052448941 Enrollment ID: I20100426000144 |
| Provider Name | Andrew Bokor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477523454 PECOS PAC ID: 2466580121 Enrollment ID: I20110209000379 |
| Provider Name | Michelle M Birkenholz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083889216 PECOS PAC ID: 4981868726 Enrollment ID: I20120607000468 |
| Provider Name | Alicia W Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508998725 PECOS PAC ID: 7618109802 Enrollment ID: I20140423000572 |
| Provider Name | Rachel Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285163071 PECOS PAC ID: 4880964493 Enrollment ID: I20170713003675 |
| Provider Name | Heather N Rowlands |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366081978 PECOS PAC ID: 3274963657 Enrollment ID: I20200427001403 |
| Provider Name | Katherine Jean Bellomy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1689040578 PECOS PAC ID: 2163720244 Enrollment ID: I20200610002259 |
| Provider Name | Melissa Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369460 PECOS PAC ID: 5395143408 Enrollment ID: I20211004002560 |
| Provider Name | Francesca Dominique Lamoreux |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1255941159 PECOS PAC ID: 4981080041 Enrollment ID: I20220928000433 |
| Provider Name | Michelle Renee Tiberio |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1285336578 PECOS PAC ID: 1153787114 Enrollment ID: I20230517000292 |
| Provider Name | Megan Nicole Gouhin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962159525 PECOS PAC ID: 4981056728 Enrollment ID: I20240117004231 |
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