FAMILY PRACTICE WEST INC (NPI# 1104038595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104038595 |
| Entity Type | Organization |
| Organization Name | FAMILY PRACTICE WEST INC |
| Practice Address |
5212 W Broad St Columbus OH 43228-1642 |
| Practice Telephone | 6148787285 |
| Practice Fax Number | 6148781724 |
| Mailing Telephone | 6148787285 |
| Mailing Fax Number | 6148781724 |
| Enumeration Date | 2007-05-05 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | JIMILEA GUTHEIL (OFFICE MANAGER) |
| Authorized Official Telephone | 6148787285 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34008162 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2649076 | 05 |
| Street Address |
5212 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932102225 | Mark Edward Barnhart | Podiatrist | 5212 W Broad St, Columbus, OH 43228-1642 | 2005-05-31 |
| 1447799119 | Monfredi Family Dental LLC | Dentist | 5212 W Broad St, Columbus, OH 43228-1642 | 2017-02-14 |
| 1992255293 | Medical Center West Pharmacy, LLC | Pharmacy | 5212 W Broad St, Columbus, OH 43228-1642 | 2016-10-11 |
| 1649653254 | Michelle Victoria Velazquez | Nurse Practitioner | 5212 W Broad St, Columbus, OH 43228-1642 | 2015-06-30 |
| 1417337460 | Family Practice West, Inc. | Clinic/Center | 5212 W Broad St, Columbus, OH 43228-1642 | 2015-06-04 |
| 1336528470 | Bradley Christopher Moore | Dentist | 5212 W Broad St, Columbus, OH 43228-1642 | 2015-05-21 |
| 1669893756 | West Broad Dental, Sean R Bates Dds, Inc | Dentist | 5212 W Broad St, Columbus, OH 43228-1642 | 2013-12-17 |
| 1912340795 | Maple Leaf New Rome Pharmacy | Pharmacy | 5212 W Broad St, Columbus, OH 43228-1642 | 2013-04-11 |
| 1992043541 | New Albany Family Foot Care Inc | Podiatrist | 5212 W Broad St, Columbus, OH 43228-1642 | 2013-01-16 |
| 1134482151 | Roseann Morrison | Podiatrist | 5212 W Broad St, Ste F, Columbus, OH 43228-1642 | 2012-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| 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.