DOUGLAS JAMES PRIMM (NPI# 1699156752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699156752 |
| Entity Type | Individual |
| Full Name | DOUGLAS JAMES PRIMM |
| Credential | LMT/PTA |
| Practice Address |
4488 W Broad St Ste 100 Columbus OH 43228-5610 |
| Practice Telephone | 6148514442 |
| Mailing Telephone | 6148514442 |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11169-N-R | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4488 W BROAD ST STE 100 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-5610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528493335 | Inge Michelle Clark | Massage Therapist | 4488 W Broad St Ste 100, Columbus, OH 43228-5610 | 2013-09-11 |
| 1669026787 | Nina Marie Henry | Massage Therapist | 4488 W Broad St Ste 100, Columbus, OH 43228-5610 | 2019-07-26 |
| 1043864499 | Fabian Soto | Massage Therapist | 4488 W Broad St Ste 100, Columbus, OH 43228-5610 | 2019-07-24 |
| 1972939262 | Andrea Louise Adams | Massage Therapist | 4488 W Broad St Ste 100, Columbus, OH 43228-5610 | 2013-09-19 |
| 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 | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677380 | Camille Mathis | Massage Therapist | 936 Bryden Rd Apt 3e, Columbus, OH 43205-1840 | 2020-10-22 |
| 1730787722 | Janet Dianne Soto | Massage Therapist | 5317 Bethel Park Dr, Columbus, OH 43235-7125 | 2020-10-13 |
| 1144837832 | Raeshell Kender | Massage Therapist | 2055 Clayborn Ct, Columbus, OH 43235-2029 | 2020-09-26 |
| 1245847003 | Larry Workman | Massage Therapist | 5425 York County Rd, Columbus, OH 43221-5543 | 2020-09-25 |
| 1851918197 | Christopher Smith | Massage Therapist | 5125 W Broad St, Columbus, OH 43228-1689 | 2020-07-02 |
| 1942839915 | Massage Oasis Inc | Massage Therapist | 442 5th St, Columbus, IN 47201-6219 | 2020-04-02 |
| 1063056851 | Beth Fannin | Massage Therapist | 1608 Home Ave, Columbus, IN 47201-5260 | 2019-11-05 |
| 1427602978 | Alicia Keeshan Taylor | Massage Therapist | 5401 Gunboat Dr Unit 31, Columbus, GA 31907 | 2019-08-01 |
| 1669033544 | Mary Benson | Massage Therapist | 3555 N National Rd, Columbus, IN 47201-2254 | 2019-06-22 |
| 1629534672 | Mary Pamela Dooley | Massage Therapist | 1505 Bethel Rd Ste 103, Columbus, OH 43220-2055 | 2019-02-14 |
| 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.