DR. LAUREN AUDREY LICATA (NPI# 1023337763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023337763 |
| Entity Type | Individual |
| Full Name | DR. LAUREN AUDREY LICATA |
| Credential | MD |
| Practice Address |
410 W 10th Ave Columbus OH 43210-1240 |
| Mailing Address |
700 Ackerman Rd Suite 570 Columbus OH 43202-1559 |
| Practice Telephone | 6142932101 |
| Practice Fax Number | 6142939155 |
| Mailing Telephone | 6142932101 |
| Mailing Fax Number | 6142939155 |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2014-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 255MA08698600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
35123573 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0105408 | 05 |
| Street Address |
410 W 10TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720599 | Stephen Thomas Shaw | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2005-06-14 |
| 1194324376 | Bindu Sahithya Challa | Pathology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-20 |
| 1912506320 | Qizhi Cao | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-19 |
| 1033718499 | Audra Goldsberry | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-17 |
| 1831706720 | Jamie Baldridge | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-25 |
| 1760098834 | Corey Becker | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-23 |
| 1942816400 | Thapasya Susan Thomas | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-21 |
| 1427660299 | Eileen Friery | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-08-21 |
| 1124630470 | Gretchen Junker | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-08-18 |
| 1205445053 | Allyson Helms | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609824267 | Jeffrey D Hutchison | Surgery | 5131 Beacon Hill Road, Columbus, OH 43228 | 2006-05-05 |
| 1861457863 | Complete Eyecare West Inc | Surgery | 5141 W Broad St, Suite 100, Columbus, OH 43228-1992 | 2006-04-20 |
| 1093107617 | Jenna Borys | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2015-02-19 |
| 1235549684 | David Testrake | Surgery | 1581 Dodd Dr Fl 1, Columbus, OH 43210-1257 | 2014-05-06 |
| 1710305628 | Meghan Wooster | Surgery | 5100 W Broad St, Columbus, OH 43228-1607 | 2014-03-29 |
| 1366785727 | Ryan Lee Lucero | Surgery | 111 S Grant Ave Ste 350, Columbus, OH 43215 | 2013-04-03 |
| 1396087169 | Brett Mitchell Tracy | Surgery | 1581 Dodd Dr Fl 1, Columbus, OH 43210-1257 | 2013-03-20 |
| 1366702722 | Alex W Helkin | Surgery | 1581 Dodd Dr, Columbus, OH 43210-1257 | 2012-05-20 |
| 1942569231 | Mackenzie Lee Goodwin | Surgery | 1581 Dodd Dr Fl 1, Columbus, OH 43210-1257 | 2012-05-08 |
| 1073755294 | Thanh Van Nguyen | Surgery | 111 S Grant Ave, Columbus, OH 43215-4701 | 2009-04-02 |
| 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.