OSU SPORTS MEDICINE CENTER (NPI# 1285692228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285692228 |
| Entity Type | Organization |
| Organization Name | OSU SPORTS MEDICINE CENTER |
| Practice Address |
2050 Kenny Rd Third Floor Columbus OH 43221-3502 |
| Mailing Address |
700 Ackerman Rd Ste 570 Columbus OH 43202-1559 |
| Practice Telephone | 6142933600 |
| Practice Fax Number | 6142934399 |
| Mailing Telephone | 6142933693 |
| Mailing Fax Number | 6142934354 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-11-30 |
| Authorized Official Name | ANNE SMITH (DIRECTOR, CORPORATE CREDENTIALING) |
| Authorized Official Telephone | 6142937443 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2546829 | 05 |
| Street Address |
2050 KENNY RD THIRD FLOOR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43221-3502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410090 | Michael E Ruff | Orthopaedic Surgery | 2050 Kenny Rd, Ste. 3300, Columbus, OH 43221-3502 | 2005-07-13 |
| 1225645864 | Eva Rani Panigrahi | Psychologist | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2020-09-28 |
| 1023625100 | Damalie Shirima | Nurse Practitioner | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2020-09-23 |
| 1972129971 | Emily N. Rice | Dietitian, Registered | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2020-06-25 |
| 1669016440 | Samantha M. Hulett | Social Worker | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2019-11-04 |
| 1477103406 | Anahit Roberta Simonyan | Pharmacist | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2019-09-11 |
| 1710543962 | Rahul Pamarthy | Internal Medicine | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2019-05-14 |
| 1629531082 | Melissa Marie Malinky | Nurse Practitioner | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2019-04-11 |
| 1700340999 | Barbara A. Driscoll | Registered Nurse | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2019-01-22 |
| 1447746698 | Edwin Michael Murphy | Pharmacist | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
| 1215405691 | Mary E Altiero | Registered Nurse | 3041 Mountview Rd, Columbus, OH 43221 | 2018-11-05 |
| 1396157228 | Heavenly Help LLC | Home Health | 2903 Brandon Road, Columbus, OH 43221 | 2014-05-27 |
| 1679824767 | Danielle Leigh Prater | Occupational Therapy Assistant | 5222 York County Rd., Columbus, OH 43221 | 2012-09-28 |
| 1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
| 1033494125 | Katherine Ann Friz | Mechanotherapist | 1840 Zollinger Rd Suite A, Columbus, OH 43221 | 2011-10-20 |
| 1942513908 | Adelaide Wilma Koestner | Pathology | 3175 Tremont Rd., #410, Columbus, OH 43221 | 2010-07-20 |
| 1003006909 | Julia Ann Pinkham | Acupuncturist | 2170 Riverside Dr, Columbus, OH 43221 | 2007-07-26 |
| 1750592796 | Christopher Scott Mckenzie | Physical Therapist | The Ohio State University Sports Medicine Center, 2050 Kenny Rd. Morehouse Building, Columbus, OH 43221 | 2007-05-24 |
| 1538379169 | Melissa Shearer Kidder | Physical Therapist | Osu Sports Medicine Center, 2050 Kenny Road, Columbus, OH 43221 | 2007-05-23 |
| Find all providers in zip 43221 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477597979 | John M. Henderson Sr. | Family Medicine | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-06-15 |
| 1457346058 | Richard Martin | Family Medicine | 50 Mcnaughten Rd Ste 202, Columbus, OH 43213-2193 | 2005-09-20 |
| 1962964833 | Hughston Medical Group, PC | Family Medicine | 1900 10th Ave Ste 211, Columbus, GA 31901-3604 | 2019-04-01 |
| 1184078644 | Margaret Doe | Family Medicine | 543 Taylor Ave Fl 2, Columbus, OH 43203-1278 | 2016-04-20 |
| 1164717260 | Benjamin Jacob Burkam | Family Medicine | 697 Thomas Ln, Columbus, OH 43214 | 2011-06-16 |
| 1619276656 | Ohiohealth Corporation | Family Medicine | 3705 Olentangy River Rd Ste 260, Columbus, OH 43214-3467 | 2011-03-16 |
| 1093950560 | Grant/riverside Medical Care Foundation, Inc | Family Medicine | 3705 Olentangy River Rd, Ste 260, Columbus, OH 43214-3467 | 2008-12-11 |
| 1699947176 | John M Henderson Do PC | Family Medicine | 2300 Manchester Expy, Bldg G202, Columbus, GA 31904-6802 | 2008-03-25 |
| 1982809273 | John W Diehl | Family Medicine | 3773 Olentangy River Rd, Columbus, OH 43214-3425 | 2007-06-18 |
| 1558446765 | Kiersten W Arthur | Family Medicine | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-10-26 |
| 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.