PETER J KOURLAS (NPI# 1700882818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700882818 |
| Entity Type | Individual |
| Full Name | PETER J KOURLAS |
| Credential | M.D. |
| Practice Address |
810 Jasonway Ave Ste A Columbus OH 43214-4359 |
| Practice Telephone | 6144423130 |
| Practice Fax Number | 6144423145 |
| Mailing Telephone | 6144423130 |
| Mailing Fax Number | 6144423145 |
| Enumeration Date | 2005-06-23 |
| Last Update Date | 2012-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
35071006 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2218577 | 05 | |
| OH | RAILROAD MEDICARE | 900003674 | 01 |
| OH | UHC | 3600501 | 01 |
| OH | ANTHEM | 000000192857 | 01 |
| OH | NATIONWIDE | 78704 | 01 |
| Street Address |
810 JASONWAY AVE STE A |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-4359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973864 | John P Kuebler | Internal Medicine | 810 Jasonway Ave, Ste A, Columbus, OH 43214-4359 | 2005-06-22 |
| 1467717553 | Ohio Oncology & Hematology LLC | Obstetrics & Gynecology | 810 Jasonway Ave, Columbus, OH 43214-4359 | 2012-07-05 |
| 1073886339 | Brli Genpath Diagnostics, Inc. | Clinical Medical Laboratory | 810 Jasonway Ave, Ste A, Columbus, OH 43214-4359 | 2012-02-17 |
| 1609148782 | Bio Reference Laboratories, Inc. | Clinical Medical Laboratory | 810 Jasonway Ave, Ste A, Columbus, OH 43214-4359 | 2012-02-03 |
| 1598050908 | Emily B Saul | Internal Medicine | 810 Jasonway Ave, Columbus, OH 43214-4359 | 2011-06-14 |
| 1659571065 | Sonia Marie Abuzakhm | Internal Medicine | 810 Jasonway Ave, Suite A, Columbus, OH 43214-4359 | 2007-07-23 |
| 1235332792 | Jennifer L Seiler | Nurse Practitioner | 810 Jasonway Ave, Columbus, OH 43214-4359 | 2007-06-11 |
| 1447474523 | Nseobong Ntukidem | Internal Medicine | 810 Jasonway Ave, Columbus, OH 43214-4359 | 2007-04-12 |
| 1306928817 | Shabana J Dewani | Internal Medicine | 810 Jasonway Ave, Suite A, Columbus, OH 43214-4359 | 2006-10-20 |
| 1790875656 | Columbus Oncology Associates Inc | Specialist | 810 Jasonway Ave, Suite A, Columbus, OH 43214-4359 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215353834 | Ahmed M Ghany | Internal Medicine | 100 W 3rd Ave Ste 150, Columbus, OH 43201-3260 | 2014-03-06 |
| 1144406687 | Alfred P Vargas | Internal Medicine | 285 E State St Bldg 2852nd, Columbus, OH 43215-4354 | 2008-01-15 |
| 1104024900 | Edward B. Jamelarin | Internal Medicine | 420 North James Rd, Chalmers P. Wylie Va Ambulatory Care Center, Columbus, OH 43219 | 2007-07-03 |
| 1467527937 | Monroe Davis Dowling Jr. | Internal Medicine | 829 Bethel Rd, Pmb 323, Columbus, OH 43214-1903 | 2006-11-21 |
| 1780787366 | Price Walker Jr. | Internal Medicine | 1013 Talbotton Rd, Columbus, GA 31904 | 2006-09-07 |
| 1215960786 | Wail Alnas | Internal Medicine | 345 Baptist Blvd, Columbus, MS 39705 | 2006-07-08 |
| 1306833934 | Zihai Li | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2005-09-29 |
| 1174526347 | Arvind B Shah | Internal Medicine | # L-3539, Columbus, OH 43260-0001 | 2005-05-23 |
| 1457779035 | Kathleen Claire Kerrigan | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2014-04-01 |
| 1104260744 | Richard Chenghan Wu | Internal Medicine | 460 W 10th Ave, Columbus, OH 43210-1240 | 2013-04-25 |
| 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.