| 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 |
| Certification 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 | () | Primary |
| Provider Name | Teresa a Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336291350 PECOS PAC ID: 3072427608 Enrollment ID: I20031118000024 |
| Provider Name | Ahmad K Jadallah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336182526 PECOS PAC ID: 2860397791 Enrollment ID: I20031204000334 |
| Provider Name | Chad a Kaufman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528085164 PECOS PAC ID: 9830096023 Enrollment ID: I20031216000551 |
| Provider Name | Benjamin Joel Swisher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518923788 PECOS PAC ID: 7810894490 Enrollment ID: I20031218000305 |
| Provider Name | Jaina Rachel Lindauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1811926447 PECOS PAC ID: 7012810039 Enrollment ID: I20040128000730 |
| Provider Name | Alyson H Leeman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1235167115 PECOS PAC ID: 9335042340 Enrollment ID: I20040129001018 |
| Provider Name | Steven Petar Balaloski |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639110778 PECOS PAC ID: 4385532902 Enrollment ID: I20040305000957 |
| Provider Name | Heidi Arbona |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548215551 PECOS PAC ID: 9931185121 Enrollment ID: I20040628001194 |
| Provider Name | Michelle Yaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1093886947 PECOS PAC ID: 2567403223 Enrollment ID: I20050512000938 |
| Provider Name | Susan M Davy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598704215 PECOS PAC ID: 4284679135 Enrollment ID: I20050622000447 |
| Provider Name | Daniel Blake Logan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1699771865 PECOS PAC ID: 3072558790 Enrollment ID: I20050623000195 |
| Provider Name | Pallavy Reddy |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1740277664 PECOS PAC ID: 9133019342 Enrollment ID: I20050713001239 |
| Provider Name | Andrew M Stein |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1801891619 PECOS PAC ID: 5193750289 Enrollment ID: I20050927001607 |
| Provider Name | Katherine Colleen Elliot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073581674 PECOS PAC ID: 1850315177 Enrollment ID: I20060125000343 |
| Provider Name | Jodi L Gibbs |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497850929 PECOS PAC ID: 2466456041 Enrollment ID: I20060913000357 |
| Provider Name | Stephanie a Beier-phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760457170 PECOS PAC ID: 3779681747 Enrollment ID: I20070614000545 |
| Provider Name | Angela Rouse-scharschmidt |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1659577864 PECOS PAC ID: 3274634852 Enrollment ID: I20070726000392 |
| Provider Name | Jennifer Fern Niesen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497806897 PECOS PAC ID: 2365533411 Enrollment ID: I20070803000606 |
| Provider Name | Amol Arora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538365846 PECOS PAC ID: 5193800084 Enrollment ID: I20080318000174 |
| Provider Name | Jonathan P Corrigan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558531475 PECOS PAC ID: 3779669007 Enrollment ID: I20080326000594 |
| Provider Name | Stephen Glatz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649322314 PECOS PAC ID: 4183722721 Enrollment ID: I20080401000229 |
| Provider Name | Marilyn J Perkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205851490 PECOS PAC ID: 6406935071 Enrollment ID: I20080507000448 |
| Provider Name | Vicki Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548283088 PECOS PAC ID: 3274436282 Enrollment ID: I20090127000054 |
| Provider Name | BJ Pomerants |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164475034 PECOS PAC ID: 1153354337 Enrollment ID: I20090202000116 |
| Provider Name | Leah Nicole Fraley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124273677 PECOS PAC ID: 6406911833 Enrollment ID: I20090218000156 |
| Provider Name | Brian R Cain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417951039 PECOS PAC ID: 1153487582 Enrollment ID: I20090309000685 |
| Provider Name | Alan J Murnane |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518945559 PECOS PAC ID: 3274447271 Enrollment ID: I20090421000553 |
| Provider Name | Tammy W Chan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902077324 PECOS PAC ID: 4284783226 Enrollment ID: I20090521000153 |
| Provider Name | Kerry Stedke |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558542522 PECOS PAC ID: 8426109943 Enrollment ID: I20090623000782 |
| Provider Name | Philip J Smelcer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780864140 PECOS PAC ID: 5193871283 Enrollment ID: I20090915000121 |
| Provider Name | Nisrine Zahir |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255545331 PECOS PAC ID: 5698811073 Enrollment ID: I20091015000484 |
| Provider Name | Sara Ann Yoder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184659922 PECOS PAC ID: 9133269905 Enrollment ID: I20091229000697 |
| Provider Name | Raymond Gardner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932107489 PECOS PAC ID: 1052448941 Enrollment ID: I20100426000144 |
| Provider Name | Beth G Lafont |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073758421 PECOS PAC ID: 1951426980 Enrollment ID: I20100915000140 |
| Provider Name | Dana Eileen Lenhart Tavaniello |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1336349976 PECOS PAC ID: 0749479467 Enrollment ID: I20110112000346 |
| Provider Name | Andrew Bokor |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477523454 PECOS PAC ID: 2466580121 Enrollment ID: I20110209000379 |
| Provider Name | John B Hollis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376694539 PECOS PAC ID: 6901063601 Enrollment ID: I20120208000572 |
| Provider Name | Michelle M Birkenholz |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083889216 PECOS PAC ID: 4981868726 Enrollment ID: I20120607000468 |
| Provider Name | Michelle L Coates |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396033817 PECOS PAC ID: 5496910929 Enrollment ID: I20120706000174 |
| Provider Name | Patrick S Rheaume |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306009170 PECOS PAC ID: 1456516954 Enrollment ID: I20120709000305 |
| Provider Name | Joann Virden |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639147309 PECOS PAC ID: 2365699956 Enrollment ID: I20120905000137 |
| Provider Name | Erin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346503109 PECOS PAC ID: 8325296288 Enrollment ID: I20120918000623 |
| Provider Name | Stacey Guan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932429776 PECOS PAC ID: 1658521612 Enrollment ID: I20121029000173 |
| Provider Name | Vanessa L Stallkamp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871596718 PECOS PAC ID: 1355525825 Enrollment ID: I20121110000025 |
| Provider Name | Tammy L Herrick |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760635759 PECOS PAC ID: 2365694908 Enrollment ID: I20121206000348 |
| Provider Name | Julia a Moore |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1184969230 PECOS PAC ID: 1850544487 Enrollment ID: I20130110000396 |
| Provider Name | Brock a Bauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407090897 PECOS PAC ID: 5991940991 Enrollment ID: I20130322000065 |
| Provider Name | Sarah E Kreider |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942431911 PECOS PAC ID: 9638313406 Enrollment ID: I20130917000388 |
| Provider Name | Brock a Liden |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598762692 PECOS PAC ID: 6406741511 Enrollment ID: I20140124000720 |
| Provider Name | Heidi J Bird |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447513734 PECOS PAC ID: 7012164866 Enrollment ID: I20140401002253 |
| Provider Name | Devon Theresa Ksiazk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619244696 PECOS PAC ID: 6406088871 Enrollment ID: I20140417001157 |
| Provider Name | Alicia W Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508998725 PECOS PAC ID: 7618109802 Enrollment ID: I20140423000572 |
| Provider Name | Jessie Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831475987 PECOS PAC ID: 6507013067 Enrollment ID: I20140516000506 |
| Provider Name | Amanda Gandert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033557236 PECOS PAC ID: 9436373867 Enrollment ID: I20140604002734 |
| Provider Name | Alexis C Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164850129 PECOS PAC ID: 0446474282 Enrollment ID: I20140617001102 |
| Provider Name | Meredith a Warnecke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639578404 PECOS PAC ID: 6901123272 Enrollment ID: I20150325001396 |
| Provider Name | Jason D Shoemaker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497053540 PECOS PAC ID: 5294041026 Enrollment ID: I20150825003162 |
| Provider Name | Seretha Maria Ransom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1699060764 PECOS PAC ID: 7517115181 Enrollment ID: I20151214001235 |
| Provider Name | Tara Freter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205023777 PECOS PAC ID: 8426347584 Enrollment ID: I20160513000543 |
| Provider Name | Stephanie M Conway |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1558628487 PECOS PAC ID: 0648567156 Enrollment ID: I20160927003252 |
| Provider Name | Sara Elizabeth Rizor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023560364 PECOS PAC ID: 2062792609 Enrollment ID: I20161216001783 |
| Provider Name | Kathryn Rode |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285170878 PECOS PAC ID: 0244514370 Enrollment ID: I20170308002191 |
| Provider Name | Jasmine N Shafto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336177856 PECOS PAC ID: 1951678440 Enrollment ID: I20170605002459 |
| Provider Name | Jaclyn Flickinger |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1003158494 PECOS PAC ID: 0345470050 Enrollment ID: I20170616001090 |
| Provider Name | Britta L Buchenroth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962744045 PECOS PAC ID: 4587808191 Enrollment ID: I20170703001662 |
| Provider Name | Scott Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548797608 PECOS PAC ID: 9032489638 Enrollment ID: I20170713003302 |
| Provider Name | Rachel Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285163071 PECOS PAC ID: 4880964493 Enrollment ID: I20170713003675 |
| Provider Name | Allison M Murphy |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962744060 PECOS PAC ID: 0244470284 Enrollment ID: I20170811002577 |
| Provider Name | Lisa M Kehle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568516888 PECOS PAC ID: 8426021551 Enrollment ID: I20170905001731 |
| Provider Name | Allison Marie Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902319122 PECOS PAC ID: 4789942954 Enrollment ID: I20171215001252 |
| Provider Name | Wendy Pribanich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306359070 PECOS PAC ID: 7911266457 Enrollment ID: I20180109001369 |
| Provider Name | Stephanie L Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437532504 PECOS PAC ID: 0345542676 Enrollment ID: I20180219001496 |
| Provider Name | Rick a Stephenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265978373 PECOS PAC ID: 0941561799 Enrollment ID: I20180219002254 |
| Provider Name | Carey L Barber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487152427 PECOS PAC ID: 1850653460 Enrollment ID: I20180320000296 |
| Provider Name | Bela M Koe-krompecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649683251 PECOS PAC ID: 8426312307 Enrollment ID: I20180430001913 |
| Provider Name | James John Graham |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1063831600 PECOS PAC ID: 6901102003 Enrollment ID: I20180606000947 |
| Provider Name | Stephanie Anne Tronolone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447754643 PECOS PAC ID: 5698026011 Enrollment ID: I20180925001434 |
| Provider Name | Jessica Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396230579 PECOS PAC ID: 4385996248 Enrollment ID: I20181004001772 |
| Provider Name | Stephanie Ellen Rajchel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1821380783 PECOS PAC ID: 7012223795 Enrollment ID: I20181128002910 |
| Provider Name | Nicole Marchelle Herath |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1295224350 PECOS PAC ID: 9436492006 Enrollment ID: I20190522002078 |
| Provider Name | Aaftab Husain |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1023469889 PECOS PAC ID: 1951695345 Enrollment ID: I20190808001540 |
| Provider Name | Richelle Sheets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821640699 PECOS PAC ID: 1658608500 Enrollment ID: I20190814003978 |
| Provider Name | Jodi Bender |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1053707414 PECOS PAC ID: 6800107467 Enrollment ID: I20190830002136 |
| Provider Name | Catherine a Taliani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992192322 PECOS PAC ID: 8729397906 Enrollment ID: I20200108002733 |
| Provider Name | Alexa C Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164076063 PECOS PAC ID: 9931534880 Enrollment ID: I20200122003221 |
| Provider Name | Dana Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871047571 PECOS PAC ID: 3274961651 Enrollment ID: I20200318000758 |
| Provider Name | Courtney L Fike |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356974000 PECOS PAC ID: 2466882873 Enrollment ID: I20200428000117 |
| 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 | Amy K Mock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447803267 PECOS PAC ID: 6103244850 Enrollment ID: I20200914000970 |
| Provider Name | Soumi Dey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750994125 PECOS PAC ID: 8325467152 Enrollment ID: I20200929000896 |
| Provider Name | Stephanie J Glass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457668527 PECOS PAC ID: 4385056829 Enrollment ID: I20201207002901 |
| Provider Name | Patricia Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356994685 PECOS PAC ID: 9931511656 Enrollment ID: I20201221002690 |
| Provider Name | Ashley Elizabeth Turner |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1790376200 PECOS PAC ID: 7214342716 Enrollment ID: I20210216000479 |
| Provider Name | Nicole Basinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770177958 PECOS PAC ID: 8527460666 Enrollment ID: I20210712001849 |
| Provider Name | Darcy L Langhals |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356875017 PECOS PAC ID: 0547535494 Enrollment ID: I20210715000847 |
| Provider Name | Molly E Crocker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316519119 PECOS PAC ID: 2860895075 Enrollment ID: I20210726003043 |
| Provider Name | Tiffany Joyce Abreu |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093241150 PECOS PAC ID: 6002151172 Enrollment ID: I20210817003928 |
| Provider Name | Megan Sue Christy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1891368254 PECOS PAC ID: 9335544907 Enrollment ID: I20210819001285 |
| Provider Name | Melissa Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881369460 PECOS PAC ID: 5395143408 Enrollment ID: I20211004002560 |
| Provider Name | Ashleigh Renee Arrowood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477228195 PECOS PAC ID: 6305235607 Enrollment ID: I20211108000805 |
| Provider Name | Brandon Ruvalcaba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811567720 PECOS PAC ID: 8123418092 Enrollment ID: I20211208001597 |
| Provider Name | Dortisha Shanelle Hamilton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013216274 PECOS PAC ID: 9739567702 Enrollment ID: I20220602002120 |
| Provider Name | Gregory S Vereb |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1710349824 PECOS PAC ID: 4486036464 Enrollment ID: I20220808002269 |
| Provider Name | Andrea Lyn Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437882388 PECOS PAC ID: 0345625794 Enrollment ID: I20220921000779 |
| Provider Name | Leanna Grace Ellis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841911369 PECOS PAC ID: 4284010323 Enrollment ID: I20220927003551 |
| Provider Name | Ann C Basom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912630187 PECOS PAC ID: 2264809813 Enrollment ID: I20221110001716 |
| Provider Name | Lauren H Grawert |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508093543 PECOS PAC ID: 9436331139 Enrollment ID: I20221130002931 |
| Provider Name | Benjamin Roland Sheppard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699414722 PECOS PAC ID: 8527437714 Enrollment ID: I20221209002054 |
| Provider Name | Kayla Nicole Gehret |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023720679 PECOS PAC ID: 4183095037 Enrollment ID: I20230201000359 |
| Provider Name | Nellimaria Lavalle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194327007 PECOS PAC ID: 4284007584 Enrollment ID: I20230308000584 |
| Provider Name | Mary Vansuch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639817679 PECOS PAC ID: 2961877717 Enrollment ID: I20230407001211 |
| 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 | Jessica Pulliam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467653790 PECOS PAC ID: 1557443629 Enrollment ID: I20230606002655 |
| Provider Name | Rachel Kirk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710417498 PECOS PAC ID: 7012288640 Enrollment ID: I20230721002050 |
| Provider Name | Mianna Marie Armstrong Gilmore |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417416520 PECOS PAC ID: 3870836315 Enrollment ID: I20230724001875 |
| Provider Name | Kaitlyn N Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437842804 PECOS PAC ID: 1254794985 Enrollment ID: I20230829002763 |
| Provider Name | Nicholas Mischel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679968994 PECOS PAC ID: 2264761154 Enrollment ID: I20231026001554 |
| Provider Name | Alicia a Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558147645 PECOS PAC ID: 6305294463 Enrollment ID: I20231129003581 |
| Provider Name | Nicole M Calloway |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235145939 PECOS PAC ID: 3971956137 Enrollment ID: I20240124003371 |
| Provider Name | Jessica Cristini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528628328 PECOS PAC ID: 6608101647 Enrollment ID: I20240130002656 |
| Provider Name | Ashley Timberlake |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861996530 PECOS PAC ID: 4082057336 Enrollment ID: I20240205000051 |
| Provider Name | Eriq Rory |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336605708 PECOS PAC ID: 8123462884 Enrollment ID: I20240221001778 |
| Provider Name | Lydia Marie Deppert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437910197 PECOS PAC ID: 4789029810 Enrollment ID: I20240228004306 |
| Provider Name | Rebekah Iona Aldridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154948677 PECOS PAC ID: 8820435936 Enrollment ID: I20240326000240 |
| Provider Name | Catherine Emily Swisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699067496 PECOS PAC ID: 8527408731 Enrollment ID: I20240503002136 |
| Provider Name | Carl W Mccord |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20240612002245 |
| Provider Name | Brandon Soule |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689962581 PECOS PAC ID: 3870765340 Enrollment ID: I20240614001476 |
| Provider Name | Madeline Binder |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1689420044 PECOS PAC ID: 5890238968 Enrollment ID: I20240617003492 |
| Provider Name | Fernando Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20240624000678 |
| Provider Name | Kelsey L Maag |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720615495 PECOS PAC ID: 8123459872 Enrollment ID: I20240712001871 |
| Provider Name | Gautam Khandelwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962445569 PECOS PAC ID: 1153394234 Enrollment ID: I20240715000271 |
| Provider Name | Christina Diane Cherry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073379301 PECOS PAC ID: 6204371222 Enrollment ID: I20240715002883 |
| Provider Name | Kelli K Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649973249 PECOS PAC ID: 0547706079 Enrollment ID: I20240722000199 |
| Provider Name | Melanie Lieblang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508392952 PECOS PAC ID: 2365714995 Enrollment ID: I20240729003188 |
| Provider Name | Awa Dia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679258701 PECOS PAC ID: 7618327131 Enrollment ID: I20240730002460 |
| Provider Name | Deana L Lewis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588242358 PECOS PAC ID: 0345788790 Enrollment ID: I20240815003116 |
| Provider Name | Taylor Cater |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1134689417 PECOS PAC ID: 0143600882 Enrollment ID: I20240822001798 |
| Provider Name | Gregory M Ritter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033532007 PECOS PAC ID: 9830464429 Enrollment ID: I20240823000167 |
| Provider Name | Shishir Khetan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20240903004196 |
| Provider Name | Michael Jack Leymaster |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164426995 PECOS PAC ID: 0244761591 Enrollment ID: I20240927001264 |
| Provider Name | Jennifer Lynn Wyrock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275370959 PECOS PAC ID: 2769913441 Enrollment ID: I20241004002617 |
| Provider Name | Serina Mumford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134778046 PECOS PAC ID: 3274064787 Enrollment ID: I20241008000747 |
| Provider Name | Heather Rowlands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366081978 PECOS PAC ID: 3274963657 Enrollment ID: I20241008003211 |
| Provider Name | Kelsea Renee Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215547179 PECOS PAC ID: 5597297390 Enrollment ID: I20241017003572 |
| Provider Name | Qumara Hill-smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20241024001074 |
| Provider Name | Abimbola O Oyedola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619371002 PECOS PAC ID: 1052844669 Enrollment ID: I20241104001392 |
| Provider Name | Lauren Beth Blevins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124852736 PECOS PAC ID: 4880127422 Enrollment ID: I20241104002753 |
| Provider Name | Angela L Stiffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942660568 PECOS PAC ID: 5395279483 Enrollment ID: I20241112002872 |
| Provider Name | Jessica N Klett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699592642 PECOS PAC ID: 4486189354 Enrollment ID: I20241202001686 |
| Provider Name | Phebe Catherine Kuo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1275358335 PECOS PAC ID: 5799212395 Enrollment ID: I20241220000792 |
| Provider Name | Dana Wrubleski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790342137 PECOS PAC ID: 8022545532 Enrollment ID: I20241223001372 |
| Provider Name | Kevin Thurman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972364826 PECOS PAC ID: 4880122761 Enrollment ID: I20250106001145 |
| Provider Name | Cortney Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376237990 PECOS PAC ID: 5799213112 Enrollment ID: I20250114000570 |
| Provider Name | Stacey Twigg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902301468 PECOS PAC ID: 8527598903 Enrollment ID: I20250214001015 |
| Provider Name | Craig Philhower |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285085076 PECOS PAC ID: 5496038416 Enrollment ID: I20250319003526 |
| Provider Name | Jennifer Reneie Baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578219986 PECOS PAC ID: 9830612423 Enrollment ID: I20250324003471 |
| Provider Name | Ryan Payne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700357761 PECOS PAC ID: 0840714606 Enrollment ID: I20250414002100 |
| Provider Name | Rebecca Lancaster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801609912 PECOS PAC ID: 8921502097 Enrollment ID: I20250920000352 |
| Provider Name | Samara Mellanie Prystowsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669188546 PECOS PAC ID: 7517462427 Enrollment ID: I20250923002022 |
| Provider Name | Madeline Shea Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366321283 PECOS PAC ID: 0446756530 Enrollment ID: I20250929001215 |
| Provider Name | Alissa Nicole Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891383006 PECOS PAC ID: 4981100625 Enrollment ID: I20251001004476 |
| Provider Name | Austin Bernstiel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902525637 PECOS PAC ID: 0042717571 Enrollment ID: I20251009001590 |
| Provider Name | Roy R Gildersleeve |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982077749 PECOS PAC ID: 8123321080 Enrollment ID: I20251013003240 |
| Provider Name | Rachel Marie Scott |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427635077 PECOS PAC ID: 9537578026 Enrollment ID: I20251024002773 |
| Provider Name | Gregory W Stimler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225676471 PECOS PAC ID: 7719476290 Enrollment ID: I20251027002926 |
| Provider Name | Taylor Boll King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487238614 PECOS PAC ID: 5597166553 Enrollment ID: I20251114002821 |
| Provider Name | Amy J Durtschi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770076432 PECOS PAC ID: 2860982691 Enrollment ID: I20251117000078 |
| Provider Name | Anne Elizabeth Stout |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1437967510 PECOS PAC ID: 3678069465 Enrollment ID: I20251231002123 |
| Provider Name | Brandon Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578850491 PECOS PAC ID: 1052564572 Enrollment ID: I20260114000193 |
| Provider Name | Taylor Krinock |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1619858107 PECOS PAC ID: 0941787600 Enrollment ID: I20260123001587 |
| Provider Name | Celestia Helbrede |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629720321 PECOS PAC ID: 3072093657 Enrollment ID: I20260213000274 |
| Provider Name | Haley Mckown |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1457230195 PECOS PAC ID: 3779073085 Enrollment ID: I20260311003658 |
| Provider Name | Robert Lloyd Yurisko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598248015 PECOS PAC ID: 2062988165 Enrollment ID: I20260416001464 |
| Provider Name | Jerry R Moore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558845743 PECOS PAC ID: 8224506225 Enrollment ID: I20260507003461 |
North Community Counseling Centers Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6037 Cleveland Ave, Columbus, OH 43231 Phone: 614-827-1307 Fax: 614-267-7013 |
Absolutecare of Ohio, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4715 Hilton Corporate Drive, Columbus, OH 43232 Phone: 404-231-4431 |
Integrated Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Olentangy River Rd, Suite 1, Columbus, OH 43214 Phone: 614-818-1477 Fax: 614-642-0807 |
Charles Tweel MD Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4945 Olentangy River Rd, Columbus, OH 43214 Phone: 614-459-1976 Fax: 614-442-8256 |
Total Health Group, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1365 Bethel Rd, Columbus, OH 43220 Phone: 614-457-5477 |
Cityblock Medical Practice, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6100 E Main St Ste 110, Columbus, OH 43213 Phone: 833-904-0620 |