GRACE LUCILE GOTSCHALL


Address: 1791 Alum Creek Dr Ste 100, Columbus, OH 43207-1708
Phone: 6145265420

GRACE LUCILE GOTSCHALL (NPI# 1215427679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215427679
Entity Type Individual
Full Name GRACE LUCILE GOTSCHALL
Practice Address 1791 Alum Creek Dr Ste 100
Columbus
OH 43207-1708
Mailing Address 2780 Airport Dr Ste 100
Columbus
OH 43219-2289
Practice Telephone 6145265420
Practice Fax Number 6146455517
Mailing Telephone 6146455500
Mailing Fax Number 6146455517
Enumeration Date 2018-05-11
Last Update Date 2019-12-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
APRN.CNP.022490 OH Ambulatory Health Care Facilities
Y 363LF0000X Nurse Practitioner
Specialization: Family
APRN.CNP.022490 OH Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3363 Tremont Rd, Columbus, OH 432212110 6147880083

Office Location

Street Address 1791 ALUM CREEK DR STE 100
City COLUMBUS
State OH
Zip Code 43207-1708

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194071050 Columbus Neighborhood Health Center, Inc. Clinic/Center 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 2012-07-30
1174081822 Dominique Terence Jackson Nurse Practitioner 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 2019-03-12
1982199675 Clayton A Frederick Registered Nurse 1791 Alum Creek Dr Ste 100, Columbus, OH 43207-1708 2018-06-26
1194213645 Rachel Bishop Social Worker 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 2018-04-30
1962897769 Laura Lynn Mcneil Nurse Practitioner 1791 Alum Creek Dr Ste 100, Columbus, OH 43207 2015-03-30

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1366947913 Mary Elise Hanks Internal Medicine Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 2018-03-27
1699279323 Timothy Ming-li Pian Internal Medicine Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 2018-03-19
1093245763 Royce Scott Home Health 254 E. Barthman Ave, Columbus, OH 43207 2017-06-15
1497207930 Vernon C Murphy Jr. Counselor 1430 S High St Suite 112, Columbus, OH 43207 2016-11-01
1669825931 Ayamba Roselyn Tanyi Social Worker 1791 Alum Creek Drive, Columbus, OH 43207 2016-07-21
1629421268 Tiffany Dawn Hinkle Counselor 1430 S. High St, Suite 112, Columbus, OH 43207 2016-07-19
1457714933 Matthew Isaac Lyons Internal Medicine 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2016-04-01
1053712976 A Plus Children's Academy Community School Local Education Agency (LEA) 110 Obetz Rd., Columbus, OH 43207 2014-09-10
1407274301 William Hamilton Marshall V Student in an Organized Health Care Education/Training Program 1405 South High St, South High Primary Care Center, Columbus, OH 43207 2014-03-29
1912249665 Laura Romcevich Internal Medicine 700 Children's Dr. Ed650a, Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 2013-03-20
Find all providers in zip 43207

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518566900 Melissa Nameth Nurse Practitioner 3003 Cortona Rd, Columbus, OH 43204-4898 2020-10-18
1962019901 Joshua Peltier Nurse Practitioner 2657 Summit St, Columbus, OH 43202-2434 2020-09-24
1891302949 Lindsay Baughman Nurse Practitioner 5866 Regency Dr, Columbus, IN 47203-4551 2020-09-23
1114530706 Renee Dawn Holloway-vaughan Nurse Practitioner 1317 Antietam Dr, Columbus, GA 31907-6887 2020-08-25
1063024354 Nathaniel Z Raidel Nurse Practitioner 5699 Sandalwood Blvd, Columbus, OH 43229-3420 2020-08-19
1174134332 Hailey Lyn Holman Nurse Practitioner 5141 W Broad St Ste 130, Columbus, OH 43228-1984 2020-08-12
1508475989 Kara Shroff Nurse Practitioner 1127 Dublin Rd, Columbus, OH 43215-1005 2020-07-30
1265050553 Mary Hoobler Nurse Practitioner 5059 N High St, Columbus, OH 43214-1589 2020-07-13
1417575200 Candice Kilbarger Nurse Practitioner 2329 Keep Pl, Columbus, OH 43204-4989 2020-07-08
1295351872 Christina Cotterman Nurse Practitioner 700 Children Dr, Columbus, OH 43205 2020-06-19
Find all providers in COLUMBUS

Competitor

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City COLUMBUS
Zip Code 43207

Improve Information

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Dataset Information

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.

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