COLUMBUS EVOKE MEDICAL, LLC (NPI# 1811414915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811414915 |
| Entity Type | Organization |
| Organization Name | COLUMBUS EVOKE MEDICAL, LLC |
| Practice Address |
1391 W 5th Ave # 224 Columbus OH 43212-2902 |
| Practice Telephone | 6144077409 |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2019-09-27 |
| Authorized Official Name | FELICIA ALDERETE (MDMS NPI COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2105982800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1391 W 5TH AVE # 224 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43212-2902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891358156 | Sarah Christine Nyirjesy | Otolaryngology | Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2019-04-22 |
| 1336626746 | Zachary Thomas | Chiropractor | 1857 Northwest Blvd., Annex, Columbus, OH 43212 | 2018-07-27 |
| 1336654961 | John Thomas Glacken | Social Worker | 1971 W 5th Ave Ste 2, Columbus, OH 43212 | 2017-12-05 |
| 1649796731 | Alisa Farkas LLC | Social Worker | 1943 W. 5th Ave., Columbus, OH 43212 | 2017-08-21 |
| 1003355900 | Abigail Erin Becker | Pharmacist | 1145 Olentangy River Road, Room 4200, Columbus, OH 43212 | 2017-02-13 |
| 1972959336 | Chen Lin | Otolaryngology | 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2016-05-04 |
| 1679935316 | Antoine Eskander | Otolaryngology | 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 | 2016-03-22 |
| 1043619554 | Susan Snodgrass | Marriage & Family Therapist | 1200 W 5th Ave, Ste 105, Columbus, OH 43212 | 2014-08-20 |
| 1275962987 | Shanequa Crawford | Home Health | 1350 W Th Avenue, Suite 14, Columbus, OHIO 43212 | 2013-11-03 |
| 1316283690 | The Ohio State University | General Acute Care Hospital | 915 Olentangy River Road, Suite 2140, Columbus, OH 43212 | 2012-12-14 |
| Find all providers in zip 43212 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306859350 | Mehr Afroz Siddiqui | Psychiatry & Neurology | 420 N James Rd, Columbus, OH 43219-1834 | 2006-08-14 |
| 1083693477 | Diana Lynn Greene-chandos | Psychiatry & Neurology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2006-01-13 |
| 1225024599 | Ann M Pakalnis | Psychiatry & Neurology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578949517 | Mujib Rahman Md Medical Clinic LLC | Psychiatry & Neurology | 2512 E Market St Unit B, Warren, OH 44483-6266 | 2015-07-31 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1568727170 | Surgicorp Medical, LLC | Psychiatry & Neurology | 767 Yorkshire Ct, Copley, OH 44321-1296 | 2012-07-10 |
| 1679830962 | Munazza Fatima Ahmed | Psychiatry & Neurology | 1524 Sunset Blvd Ste B, Steubenville, OH 43952-1380 | 2012-04-12 |
| 1073780037 | Sameena Khan Siddiqui | Psychiatry & Neurology | 2540 N Moreland Blvd, Shaker Heights, OH 44120-1375 | 2008-05-09 |
| 1003089632 | Apisit Boongird | Psychiatry & Neurology | 12000 Fairhill Rd Apt 813, Cleveland, OH 44120-1050 | 2008-04-03 |
| 1871797217 | Mei Lu | Psychiatry & Neurology | 9500 Euclid Ave S-80, Cleveland Clinic, Cleveland, OH 44195 | 2007-06-11 |
| 1760489421 | Mohamed Abdel Aziz | Psychiatry & Neurology | 5750 Gateway, Mason, OH 45040-1497 | 2005-07-07 |
| 1114442506 | Raluca Pana | Psychiatry & Neurology | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2017-08-07 |
| 1508231267 | Evokes, LLC | Psychiatry & Neurology | 8118 Corporate Way, Ste. 212, Mason, OH 45040-7350 | 2015-12-07 |
| Find all providers with the same taxonomy | ||||
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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.