DEDICATED COLUMBUS OHIO, LLC (NPI# 1245791581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245791581 |
| Entity Type | Organization |
| Organization Name | DEDICATED COLUMBUS OHIO, LLC |
| Other Organization Name | DEDICATED SENIOR MEDICAL CENTER WEST BROAD ST |
| Practice Address |
50 North Wilson Road Columbus OH 43204 |
| Practice Telephone | 6147027915 |
| Practice Fax Number | 3053935989 |
| Mailing Telephone | 6147027915 |
| Mailing Fax Number | 3053935989 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2020-04-03 |
| Authorized Official Name | MARY CHEN (OWNER) |
| Authorized Official Telephone | 3056286117 |
| Is Organization Subpart | Y |
| Parent Organization Name | DEDICATED COLUMBUS OHIO, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Dedicated Senior Medical Center West Broad St | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538798483 | Dedicated Columbus Ohio, LLC | Internal Medicine | 1395 Nw 167th St, Miami, FL 33169-5710 | 2020-04-03 |
| 1154882496 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 5156 E Main St, Columbus, OH 43213-2424 | 2019-03-28 |
| 1932660438 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 2260 Morse Rd, Columbus, OH 43229-5858 | 2019-03-27 |
| Street Address |
50 NORTH WILSON ROAD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215593587 | Raymond Jay Ellis | Technician | 2455 Sullivant Ave, Columbus, OH 43204 | 2019-05-13 |
| 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 |
| 1679916811 | Zachary N Hourmouzis | Emergency Medicine | 2323 West 5th Ave., Columbus, OH 43204 | 2013-04-08 |
| Find all providers in zip 43204 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952783078 | Mom 2 Be, LLC | Non-Pharmacy Dispensing Site | 449 Wilkins Wise Rd, Columbus, MS 39705-1756 | 2015-06-25 |
| 1194287060 | Rivercity Rehabilitation and Spine Specialists, P.C. | Non-Pharmacy Dispensing Site | 2300 13th St Apt A, Columbus, GA 31906-2182 | 2019-04-01 |
| 1154882496 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 5156 E Main St, Columbus, OH 43213-2424 | 2019-03-28 |
| 1932660438 | Dedicated Columbus Ohio, LLC | Non-Pharmacy Dispensing Site | 2260 Morse Rd, Columbus, OH 43229-5858 | 2019-03-27 |
| 1437646403 | Gateway Wellness Center LLC | Non-Pharmacy Dispensing Site | 3433 Agler Rd., Ste 1100, Columbus, OH 43219 | 2018-04-16 |
| 1437668613 | Columbus Community Hospital Inc | Non-Pharmacy Dispensing Site | 1515 Park Ave, Columbus, WI 53925-1618 | 2017-09-20 |
| 1053832279 | University Sleep Medicine LLC | Non-Pharmacy Dispensing Site | 9039 Antares Ave, Columbus, OH 43240-4067 | 2017-06-28 |
| 1083154652 | David Kaplansky Dpm Inc | Non-Pharmacy Dispensing Site | 1275 Olentangy River Rd, Columbus, OH 43212-3119 | 2017-03-02 |
| 1194268136 | Central Ohio Foot and Ankle | Non-Pharmacy Dispensing Site | 393 E Town St, Suite 229, Columbus, OH 43215-4741 | 2016-11-23 |
| 1558712364 | Buckeye Health and Research | Non-Pharmacy Dispensing Site | 65 Highview Blvd, Columbus, OH 43207-6056 | 2016-06-23 |
| 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.