PEDIATRIC SLEEP AND NEURO CENTER (NPI# 1245780683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245780683 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC SLEEP AND NEURO CENTER |
| Other Organization Name | PEDIATRIC SLEEP AND NEURO CENTER |
| Practice Address |
7811 Flint Rd Columbus OH 43235-6420 |
| Practice Telephone | 6144461820 |
| Mailing Telephone | 6144461820 |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | DR. SAMUEL DZODZOMENYO (OWNER) |
| Authorized Official Telephone | 6144461820 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PEDIATRIC SLEEP AND NEURO CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
35.070439 | OH | Ambulatory Health Care Facilities |
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2502652 | 05 | |
| KY | 64086143 | 05 |
| Other Name | Type Code |
|---|---|
| Pediatric Sleep and Neuro Center | Doing Business As Name - Organization |
| Street Address |
7811 FLINT RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43235-6420 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881753036 | Sleep Partners of Central Ohio | Specialist | 7811 Flint Rd, Columbus, OH 43235-6420 | 2006-12-06 |
| 1306980255 | Mid Ohio Neurological Services Inc | Specialist | 7811 Flint Rd, Suite C, Columbus, OH 43235-6420 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323261 | Herbert G Gebert | Chore Provider | 864 Garehouse Lane, Columbus, OH 43235 | 2020-10-12 |
| 1306488119 | Emily Belcher | Case Manager/Care Coordinator | 2540 Billingsley Road, Columbus, OH 43235 | 2019-10-14 |
| 1013576677 | Sara Michel | Behavior Technician | 200 East Campus View Boulevard, Suite 200, Columbus, OH 43235 | 2019-06-07 |
| 1902368756 | Ability Chiropractic Lewis Center LLC | Chiropractor | 6329 Pullman Dr, Lewis Center, OH 43235 | 2019-04-02 |
| 1003390790 | Keith L Warren Sr. | Counselor | 7400 Huntington Dr, 7400 Huntington Dr, Columbus, OH 43235 | 2018-09-19 |
| 1497240907 | Mary Crouser | Case Manager/Care Coordinator | 7690 New Market Way, Columbus, OH 43235 | 2018-06-27 |
| 1164910923 | Sarah Clark | Dietitian, Registered | 8100 Ravines Edge Court, Columbus, OH 43235 | 2018-04-27 |
| 1700394921 | Amanda Daniel | Specialist/Technologist | 8375 Freedom Crossing Rd Unit J, Columbus, OH 43235 | 2018-01-22 |
| 1528579075 | Inxite Florida LLC | Case Management | 1 E Campus View Blvd Ste 320, Columbus, OH 43235 | 2017-10-23 |
| 1194243170 | Ohio Medical Transportation, Inc. | Ambulance | 2827 West Dublin-granville Road, Columbus, OH 43235 | 2017-08-30 |
| Find all providers in zip 43235 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215241534 | Justin Harper | Clinic/Center | 40 W Gay St, Columbus, OH 43215-2811 | 2010-07-28 |
| 1487978474 | Kim C. Florence Md PC | Clinic/Center | 2525 Skylake Dr, Columbus, GA 31907-2845 | 2010-03-18 |
| 1851351761 | Mobile Orthopedic Therapies, LLC | Clinic/Center | 100 W 3rd Ave, Suite 350, Columbus, OH 43201-3256 | 2006-03-24 |
| 1922077148 | Cummins Womens Healthcare LLC | Clinic/Center | 50 Lazelle Rd E, Columbus, OH 43235-6423 | 2006-03-17 |
| 1578033452 | Shaton Tucker | Clinic/Center | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2018-12-04 |
| 1457879306 | Brookstone Rheumatology Associates | Clinic/Center | 2443 Brookstone Centre Pkwy Ste A, Columbus, GA 31904-4664 | 2017-08-30 |
| 1639693476 | James B Beckham Md Pllc | Clinic/Center | 255 Baptist Blvd Ste 307, Columbus, MS 39705-2006 | 2017-08-02 |
| 1205281581 | Pro-health Services LLC | Clinic/Center | 1161 Bethel Rd, Suite 303, Columbus, OH 43220-2773 | 2016-04-25 |
| 1578950929 | Matthew E. Jones, Od, Inc. | Clinic/Center | 8967 Antares Ave, Columbus, OH 43240-2012 | 2015-04-23 |
| 1760874473 | Farabaugh Chiropractic Office | Clinic/Center | 2879 E Dublin Granville Rd, Columbus, OH 43231-4063 | 2015-03-04 |
| 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.