REVERSA R. JOSEPH (NPI# 1770726390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770726390 |
| Entity Type | Individual |
| Full Name | REVERSA R. JOSEPH |
| Other Name | REVERSA R. MILLS |
| Credential | MD |
| Practice Address |
420 N James Rd Columbus OH 43219 |
| Mailing Address |
420 N James Rd Columbus OH 43219-1834 |
| Practice Telephone | 6142575200 |
| Mailing Telephone | 6142575208 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
35128955 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0185738 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 480 Medical Center Dr, 1st Floor, Columbus, OH 432101229 | 6142934969 | 6142936111 |
| Street Address |
420 N JAMES RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43219 |
| 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 | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
| 1780946731 | Samantha Jo Lorusso | Psychiatry & Neurology | 543 Taylor Ave Ste 1100, Columbus, OH 43203-1278 | 2012-06-14 |
| 1184930133 | Appaji Rayi | Psychiatry & Neurology | 395 W 12th Ave Fl 7, Columbus, OH 43210 | 2010-08-27 |
| 1760641740 | Aaron Lee Boster | Psychiatry & Neurology | 8000 Ravines Edge Ct Ste 200, Columbus, OH 43235-5422 | 2008-06-05 |
| 1740489566 | Neurological Associates, Inc. | Psychiatry & Neurology | 974 Bethel Rd Ste C, Columbus, OH 43214-2467 | 2007-07-12 |
| 1649488586 | Shuang Chen | Psychiatry & Neurology | 4551 Lanercost Way, Columbus, OH 43220-2916 | 2007-05-21 |
| 1538222609 | George Wesley Paulson | Psychiatry & Neurology | 3957 Lytham Ct, Columbus, OH 43220-4848 | 2006-12-19 |
| 1740355486 | Brien John Smith | Psychiatry & Neurology | 3555 Olentangy River Rd Ste 2002, Columbus, OH 43214 | 2006-11-21 |
| 1144304064 | Maria Kataki | Psychiatry & Neurology | 2050 Kenny Rd Fl 3, Columbus, OH 43221-3502 | 2006-10-25 |
| 1205910502 | Douglas W. Scharre | Psychiatry & Neurology | 2050 Kenny Rd Fl 7, Columbus, OH 43221-3502 | 2006-10-24 |
| 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.