HEALTHSERVE PRIMARY CARE LLC (NPI# 1275907867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275907867 |
| Entity Type | Organization |
| Organization Name | HEALTHSERVE PRIMARY CARE LLC |
| Practice Address |
153 W Main St Ste 103 New Albany OH 43054-9225 |
| Mailing Address |
2939 Kenny Rd Ste 200 Columbus OH 43221-2406 |
| Practice Telephone | 6149399110 |
| Practice Fax Number | 6419394857 |
| Mailing Telephone | 4402745000 |
| Mailing Fax Number | 4407168608 |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |
| Authorized Official Name | MICHAEL C BOURLAND (CEO) |
| Authorized Official Telephone | 61493989110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669896239 | Healthserve Primary Care LLC | Clinic/Center | 5263 Nike Station Way, Hilliard, OH 43026-7449 | 2014-02-18 |
| Street Address |
153 W MAIN ST STE 103 |
| City | NEW ALBANY |
| State | OH |
| Zip Code | 43054-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053718387 | Expressmed New Albany LLC | Clinic/Center | 153 W Main St Ste 103, New Albany, OH 43054-9225 | 2014-12-02 |
| 1609274786 | Expressmed New Albany, LLC | Physical Therapist | 153 W Main St Ste 103, New Albany, OH 43054-9225 | 2014-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205482189 | Trilogy Healthcare of Franklin IIi, LLC | Skilled Nursing Facility | 7320 Smith's Mill Road, New Albany, OH 43054 | 2019-08-15 |
| 1003322785 | Frank Anthony Micchia IIi | Pharmacist | 5161 Hampsted Village Way, New Albany, OH 43054 | 2017-12-18 |
| 1548772627 | Samira Yusuf Beyle | Case Manager/Care Coordinator | 6524 Clifton Park Cir N, 201, New Albany, OH 43054 | 2017-10-30 |
| 1972913200 | Dr. Timothy J. Backiewicz, D.d.s., Inc. | Dentist | 68 N. High St., Building F, New Albany, OH 43054 | 2014-05-08 |
| 1497062624 | Kenzi Michelle Schafer | Physician Assistant | 102 W Main St Unit 175, New Albany, OH 43054 | 2010-09-09 |
| 1215248133 | Amanda Esch | Nurse Practitioner | 102 W. Main St. #175, New Albany, OH 43054 | 2010-06-24 |
| 1396063988 | Sarah Westbrook | Licensed Practical Nurse | 5781 Halton Gill Ln., New Albany, OH 43054 | 2010-05-07 |
| 1821326125 | Wesley Hospice, LLC | Hospice Care, Community Based | 4588 Wesley Woods Blvd Ste 2a, New Albany, OH 43054 | 2009-11-24 |
| 1033326319 | Heather Lynn Benjamin | Physical Therapy Assistant | 7277 Smith's Mill Rd., Suite 300, Ne Albany, OH 43054 | 2007-05-17 |
| 1548483670 | Jimmy M Henry | Physical Medicine & Rehabilitation | 5051 Forest Dr, New Albany, OH 43054 | 2007-04-10 |
| Find all providers in zip 43054 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760858450 | Coast To Coast California | Family Medicine | 5195 Hampsted Village Center Way, Suite 256, New Albany, OH 43054-8331 | 2015-08-17 |
| 1730482779 | Floyd Memorial Medical Group LLC | Family Medicine | 1425 State St Ste 210, New Albany, IN 47150-4977 | 2010-12-14 |
| 1063656007 | Mudasir Anwar Abro | Family Medicine | 6420 Hilltop Trail Dr, New Albany, OH 43054-5018 | 2009-04-21 |
| 1376782094 | Matthew James Farrell | Family Medicine | 240 Market St, New Albany, OH 43054-7095 | 2009-02-19 |
| 1073631164 | Creekmore Clinic, P.l.l.c. | Family Medicine | 216 Oxford Road, New Albany, MS 38652-3115 | 2007-03-27 |
| 1982625505 | Steven E Ross | Family Medicine | 6525 W Campus Oval, Suite 150, New Albany, OH 43054-8830 | 2006-07-21 |
| 1154362283 | David Kageorge | Family Medicine | 240 Market St Ste A, New Albany, OH 43054-7094 | 2006-06-09 |
| 1760429914 | Bryan Ghiloni | Family Medicine | 55 N High St, New Albany, OH 43054-7099 | 2006-05-31 |
| 1720044456 | Stephen Milan Shirley | Family Medicine | 400 Doctors Dr, New Albany, MS 38652-3109 | 2006-04-21 |
| 1578538591 | Samuel Joshua Creekmore IIi | Family Medicine | 216 Oxford Rd, New Albany, MS 38652-3115 | 2006-02-22 |
| Find all providers in NEW ALBANY | ||||
| City | NEW ALBANY |
| Zip Code | 43054 |
Please comment or provide details below to improve the information on HEALTHSERVE PRIMARY CARE LLC.
| 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.