FIRST STEP RECOVERY CENTER (NPI# 1467826453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467826453 |
Entity Type | Organization |
Organization Name | FIRST STEP RECOVERY CENTER |
Practice Address |
1649 Brice Rd Ste C Reynoldsburg OH 43068-2796 |
Practice Telephone | 6143005878 |
Enumeration Date | 2015-11-14 |
Last Update Date | 2019-05-28 |
Authorized Official Name | PAUL GOR (OWNER) |
Authorized Official Telephone | 6143005878 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
34006086 | OH | Allopathic & Osteopathic Physicians |
N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
N | 291U00000X | Clinical Medical Laboratory | 34006086 | OH | Laboratories |
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093213894 | First Step Recovery Center | Clinical Medical Laboratory | 2628 Kull Rd, Lancaster, OH 43130-7707 | 2018-01-26 |
1700340759 | First Step Recovery Center | Clinic/Center | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2019-01-24 |
1366969909 | First Step Recovery Center | Clinic/Center | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2017-08-24 |
1477004810 | First Step Recovery Center | Clinical Medical Laboratory | 1649 Brice Rd, Suite C, Reynoldsburg, OH 43068-2758 | 2016-10-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FIRST STEP RECOVERY CENTER | 1950 Madison Ave, Memphis, TN 38104-2707 |
System for Award Management (SAM) Entities | FIRST STEP RECOVERY CENTER, LLC | 1649 Brice Rd, Reynoldsburg, OH 43068-2758 |
Street Address |
1649 BRICE RD STE C |
City | REYNOLDSBURG |
State | OH |
Zip Code | 43068-2796 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568061810 | Emily Crowder | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-10-19 |
1700496452 | Shaylie Dearing | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-08-07 |
1184241283 | David Moore | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-07-06 |
1437770906 | Carol Welsh | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-05-06 |
1437787710 | Sierra N Shuster | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-03-31 |
1366079352 | Jan V Williams | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-03-27 |
1093348583 | Angela M Davis-mcgraw | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-02-13 |
1629608260 | Derrick Hodge | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-01-23 |
1396385811 | Valerie Spears | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-01-13 |
1780239335 | Bryanne Johnson | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2019-08-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
Find all providers in zip 43068 |
Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750907051 | Douglas Moinuddin | Family Medicine | 28360 Center Ridge Rd Apt 229, Westlake, OH 44145-6797 | 2020-06-23 |
1730726480 | Serenity Now Counseling and Treatment LLC | Family Medicine | 8308 Ohio River Rd Ste B, Wheelersburg, OH 45694-1713 | 2019-12-02 |
1689220352 | Hill Clinic, LLC | Family Medicine | 4425 Hill Ave, Toledo, OH 43615-5410 | 2019-08-17 |
1821654674 | Roman Family Healthcare | Family Medicine | 1440 State Route 28 W, Greenfield, OH 45123-8424 | 2019-05-17 |
1265997118 | Phoenix Integrated Health | Family Medicine | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-02-05 |
1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
1326567512 | Far Reach Foundation | Family Medicine | 620 Bear Run Ln Ste B, Lewis Center, OH 43035-8299 | 2017-09-19 |
1639691629 | Cornerstone Clinics | Family Medicine | 802 Clare Ave Ste 101, Portsmouth, OH 45662-2583 | 2017-07-11 |
1548782816 | Monarch Health and Recovery LLC | Family Medicine | 22664 State Route 73, West Portsmouth, OH 45663-6365 | 2017-07-08 |
1275073553 | Phoenix Recovery Center, LLC | Family Medicine | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2017-03-06 |
Find all providers with the same taxonomy |
City | REYNOLDSBURG |
Zip Code | 43068 |
Please comment or provide details below to improve the information on FIRST STEP RECOVERY CENTER.
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.