COLUMBUS VA (NPI# 1679027007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679027007 |
| Entity Type | Organization |
| Organization Name | COLUMBUS VA |
| Practice Address |
420 N James Rd Columbus OH 43219-1834 |
| Practice Telephone | 6142575200 |
| Mailing Telephone | 6142575200 |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-19 |
| Authorized Official Name | TORY MARIE KING (HUDVASH SOCIAL WORKER) |
| Authorized Official Telephone | 6143887219 |
| Authorized Official Credential | MSW, LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
104100000X | OH | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COLUMBUS VA LLC | 4706 Broadway Ste 240, Kansas City, MO 64112-1910 |
| Street Address |
420 N JAMES RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43219-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689677726 | John Robert Raabe | Internal Medicine | 420 N James Rd, Columbus, OH 43219-1834 | 2005-05-23 |
| 1720692742 | Charles Allen Pedigo | Respiratory Therapist, Registered | 420 N James Rd, Columbus, OH 43219-1834 | 2020-09-08 |
| 1467070292 | Katelyn Fox | Social Worker | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-08 |
| 1841817244 | Hannah Elise Magas | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-01 |
| 1649897042 | Katie Xu | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-07-01 |
| 1770108409 | Karina Yvette Miller | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-06-09 |
| 1619591500 | Jessica Ann Liszka | Pharmacist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-06-05 |
| 1275156648 | Caitlin J Talcott | Speech-Language Pathologist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-20 |
| 1336761162 | Brett Bowers | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-14 |
| 1659993541 | Steve Murimi Mathenge Njeru | Optometrist | 420 N James Rd, Columbus, OH 43219-1834 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003430844 | Pdq Transportation Inc | Secured Medical Transport (VAN) | 1640 E 5th Ave, Columbus, OH 43219 | 2020-06-06 |
| 1366066599 | Urban Limousine LLC | Secured Medical Transport (VAN) | 1640 E. 5th Ave, Columbus, OH 43219 | 2020-06-03 |
| 1841757879 | Camille Cook | Nurse Practitioner | 4200 Regent St. Suite 200, Columbus, OH 43219 | 2019-02-26 |
| 1164904595 | Vida Yeboah | Registered Nurse | 2320 Doneen Dr, Columbus, OH 43219 | 2018-09-01 |
| 1407373129 | Chevon Marie Wiseman | Nurse's Aide | 2835 Jared Pl, Columbus, OH 43219 | 2017-08-23 |
| 1952826737 | Hilary Schadle Demostenes | Social Worker | 2780 Airport Dr, Suite 100 - Billing/credentialing Dept., Columbus, OH 43219 | 2017-08-14 |
| 1851833800 | Amanda Yahn | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Road, Bradford School, Columbus, OH 43219 | 2016-11-08 |
| 1215312939 | Taylor Weary | Student in an Organized Health Care Education/Training Program | 2649 Stelzer Rd, Columbus, OH 43219 | 2015-07-23 |
| 1568846715 | Brenton Semplak | Student in an Organized Health Care Education/Training Program | 2469 Stelzer Rd., Columbus, OH 43219 | 2015-07-17 |
| 1811384746 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4142 Seward Street, Suite F105, Columbus, OH 43219 | 2015-04-17 |
| Find all providers in zip 43219 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215184 | Chattahoochee Valley Jail Ministry | Clinic/Center | 2101 Hamilton Rd, Columbus, GA 31904-8834 | 2020-04-28 |
| 1114553948 | Johnson Nichols Health Clinic, Inc. | Clinic/Center | 720 N Marr Rd Ste A, Columbus, IN 47201-6660 | 2020-03-12 |
| 1265933774 | Amber Dawn Counseling and Recovery Services, LLC | Clinic/Center | 447 E Main St Ste 220e, Columbus, OH 43215-5661 | 2018-02-21 |
| 1649516527 | National Youth Advocate Program | Clinic/Center | 2600 Sandcrest Blvd Ste A, Columbus, IN 47203-3053 | 2012-12-20 |
| 1104198597 | William W Friday, Ph.d., Inc. | Clinic/Center | 5340 E Main St Ste 205, Columbus, OH 43213-2574 | 2012-02-01 |
| 1104007434 | West Central Georgia Regional Hospital | Clinic/Center | 6408 Hunter Rd, Columbus, GA 31907-4474 | 2007-11-15 |
| 1215055090 | Dccca, Inc | Clinic/Center | 501 W Central St, Columbus, KS 66725-9211 | 2007-03-27 |
| 1497886337 | Quinco Consulting Center Inc | Clinic/Center | 2999 9th St, Columbus, IN 47201-2605 | 2007-03-09 |
| 1265564918 | Quinco Consulting Center Inc | Clinic/Center | 730 Schnier St, Columbus, IN 47201-6658 | 2007-03-09 |
| 1891826731 | Quinco Consulting Center Inc | Clinic/Center | 1714 Cottage Ave, Columbus, IN 47201-5330 | 2007-03-09 |
| Find all providers in COLUMBUS | ||||
Please comment or provide details below to improve the information on COLUMBUS VA.
| 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.