MICHAEL M ALEXANDER DO INC (NPI# 1003358045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003358045 |
| Entity Type | Organization |
| Organization Name | MICHAEL M ALEXANDER DO INC |
| Other Organization Name | PILGRIM SULLIVANT |
| Practice Address |
3219 Sullivant Ave Columbus OH 43204-1837 |
| Practice Telephone | 6142725244 |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | MICHAEL ALEXANDER (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6142725244 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Pilgrim Sullivant | Other Name - Individual/Organization |
| Street Address |
3219 SULLIVANT AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204-1837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679524789 | Michael M Alexander | Family Medicine | 3219 Sullivant Ave, Columbus, OH 43204-1886 | 2006-05-13 |
| 1598163750 | Lori Chovanak | Nurse Practitioner | 3219 Sullivant Ave, Columbus, OH 43204-1837 | 2014-12-19 |
| 1225069628 | Mark C Hatfield | Anesthesiology | 3219 Sullivant Ave, Columbus, OH 43204-1837 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 1245791581 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 50 North Wilson Road, Columbus, OH 43204 | 2019-03-28 |
| 1770076192 | Morgan Elizabeth Garczyk | Optometrist | 2300 W Broad St Fl 2, Columbus, OH 43204 | 2018-06-11 |
| 1093240731 | Jerusha R Mcclendon | Social Worker | 3188 Mary Ave, Columbus, OH 43204 | 2017-05-01 |
| 1790235588 | American Senior Care Center LLC | Home Health | 3105 W Broad Street, Suite 2, Columbus, OH 43204 | 2016-10-05 |
| 1184082083 | Jordan Fontes | Nurse Practitioner | 2800 West Broad St, Columbus, OH 43204 | 2016-02-05 |
| 1073971248 | John R Sadaghiani | Dentist | 45 N. Wilson Rd, Columbus, OH 43204 | 2016-02-03 |
| 1245615806 | Brittany Muse | Occupational Therapist | 3615 Graybeck Drive, Columbus, OH 43204 | 2015-07-24 |
| 1528453842 | Sadaf Khan | Internal Medicine | 50 N Wilson Road, Columbus, OH 43204 | 2015-04-02 |
| 1053722629 | Kristen Basch | Pharmacist | 4248 Ongaro Dr, Columbus, OH 43204 | 2014-05-16 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
| 1245755990 | Pathway Healthcare- Columbus, Ms LLC | Family Medicine | 3600 Bluecutt Rd Ste 200, Columbus, MS 39705-1303 | 2017-08-03 |
| 1598071334 | Medsave Healthcare Clinics Inc | Family Medicine | 246 E Campus View Blvd, Columbus, OH 43235 | 2010-08-30 |
| 1700056033 | Latonya Janett Carroll | Family Medicine | 655 N Cassady Ave Ste 7, Columbus, OH 43219-2720 | 2008-03-03 |
| 1942484167 | Medical and Natural Nutritional Alternatives Inc | Family Medicine | 730 Mount Airyshire Blvd A, Columbus, OH 43235-1328 | 2007-12-24 |
| 1366655656 | Roger Garcia | Family Medicine | 4889 Sinclair Rd Ste 112, Columbus, OH 43229-5433 | 2007-05-07 |
| 1144275181 | Larry S Everhart | Family Medicine | 730 Mount Airyshire Blvd, A, Columbus, OH 43235-1328 | 2006-05-24 |
| 1447884077 | First Care Integrated Health LLC | Family Medicine | 5150 E Main St Ste 105, Columbus, OH 43213-2441 | 2020-02-21 |
| 1649733445 | Ohio Addiction Management | Family Medicine | 2525 Oakstone Dr Ste B, Columbus, OH 43231-8626 | 2019-04-09 |
| 1790279131 | Ohio Addiction Management, LLC | Family Medicine | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2018-06-19 |
| Find all providers in COLUMBUS | ||||
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| 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.