HOMER MCDUFFIE JR. (NPI# 1770047409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770047409 |
| Entity Type | Individual |
| Full Name | HOMER MCDUFFIE JR. |
| Credential | CDCA |
| Practice Address |
547 E 11th Ave Columbus OH 43211-2603 |
| Practice Telephone | 6142244506 |
| Practice Fax Number | 6142910118 |
| Mailing Telephone | 6142244506 |
| Mailing Fax Number | 6142910118 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.163178 | OH | Behavioral Health & Social Service Providers |
| Street Address |
547 E 11TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43211-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649279373 | Anthony Dean Agra | Internal Medicine | 547 E 11th Ave, Columbus, OH 43211-2603 | 2005-07-15 |
| 1306447883 | Katie Ann Sewell | Registered Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2020-11-03 |
| 1447874748 | Shawn Allen Farkas | Counselor | 547 E 11th Ave, Columbus, OH 43211-2603 | 2020-06-02 |
| 1497398291 | Erika Paige Miller | Registered Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-10-24 |
| 1407416027 | Toney J. Rothwell | Registered Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-06-17 |
| 1760949580 | Toi Lynn Mccarroll | Counselor | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-02-28 |
| 1467918979 | Megan Kathleen Roesch | Social Worker | 547 E 11th Ave, Columbus, OH 43211-2603 | 2019-02-20 |
| 1740758739 | Kyle Richard Chambers | Counselor | 547 E 11th Ave, Columbus, OH 43211-2603 | 2018-11-07 |
| 1891263802 | Tonja Lynne Odenweller | Registered Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2018-11-07 |
| 1770051914 | Barbara Ann Brake | Licensed Practical Nurse | 547 E 11th Ave, Columbus, OH 43211-2603 | 2018-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851751317 | Brittany A Flora | Social Worker | 2440 Dawnlight Avenue, Columbus, OH 43211 | 2016-02-26 |
| 1003289240 | Akialah Haynes | Specialist | 1768 Cleveland Ave, Columbus, OH 43211 | 2015-11-10 |
| 1477955805 | Geraldine Hopkins | Home Health Aide | 2382 Marcia Dr., Columbus, OH 43211 | 2014-09-17 |
| 1932460284 | Moses Moiba | Home Health Aide | 2110 Homestead Dr, Columbus, OH 43211 | 2012-06-04 |
| 1912237298 | Rhonte Latrice Alexander | Registered Nurse | 2703 Clubhouse Dr., Columbus, OH 43211 | 2010-01-08 |
| 1982811030 | Patrick Donald Murphy I | Contractor | 2205 Medina, Columbus, OH 43211 | 2007-05-17 |
| 1053449926 | Project Linden, Inc. | Community/Behavioral Health | 1410 Cleveland Ave., Suite #2, Columbus, OH 43211 | 2007-03-01 |
| 1124180062 | Chester Ronald Corbitt | Dentist | 1598 Cleveland Ave, Columbus, OH 43211 | 2006-12-15 |
| 1861418295 | Annette P Hilaman | Dentist | 2345 Cleveland Ave, Columbus, OH 43211 | 2006-07-15 |
| 1023065703 | Maplewood Medical Center, Inc | Family Medicine | 2052 Cleveland Ave, Columbus, OH 43211 | 2006-05-28 |
| Find all providers in zip 43211 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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|---|---|---|---|---|
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| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1710593736 | Lisa Rooker | Counselor | 3197 E Dublin Granville Rd, Columbus, OH 43231-4035 | 2020-09-16 |
| 1679184089 | Amy Danielle Styron | Counselor | 770 Golding Rd, Columbus, MS 39702-7866 | 2020-08-11 |
| 1700495934 | Meghan Craig | Counselor | 3600 Oakstone Drive, Columbus, OH 43231 | 2020-07-23 |
| 1417575416 | Chris Burton | Counselor | 1017 3rd St, Columbus, IN 47201-6870 | 2020-07-07 |
| 1841811270 | Tera Shevon Wise | Counselor | 1390 Dublin Rd, Columbus, OH 43215-1009 | 2020-04-27 |
| 1699303669 | Killian Counseling LLC | Counselor | 2700 E Main St Ste 106, Columbus, OH 43209-2536 | 2020-03-27 |
| 1366076853 | Lukas Planck | Counselor | 2984 Cortona Rd, Columbus, OH 43204-3601 | 2020-02-24 |
| 1558994681 | Gary Willis | Counselor | 3290 Meridian Rd, Columbus, OH 43232-4079 | 2020-02-18 |
| 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.