MID OHIO MEDICAL MANAGEMENT,LLC (NPI# 1497916605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497916605 |
| Entity Type | Organization |
| Organization Name | MID OHIO MEDICAL MANAGEMENT,LLC |
| Practice Address |
1755 Lancaster Ave Reynoldsburg OH 43068 |
| Mailing Address |
Po Box 513 Pickerington OH 43147-0513 |
| Practice Telephone | 6148347030 |
| Practice Fax Number | 6148347032 |
| Mailing Telephone | 6148347030 |
| Mailing Fax Number | 6148347032 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2018-05-25 |
| Authorized Official Name | GINA MARIE NICHOLS (CEO) |
| Authorized Official Telephone | 6148347030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35086704 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2611267 | 05 |
| Street Address |
1755 LANCASTER AVE |
| City | REYNOLDSBURG |
| State | OH |
| Zip Code | 43068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763374 | Taren Lewis | Nurse Practitioner | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2020-06-05 |
| 1215571088 | Crystal Marie Bazemore | Counselor | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2019-11-04 |
| 1235694639 | Md Connect Solutions LLC | Rehabilitation, Substance Use Disorder Unit | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2019-02-10 |
| 1962901678 | Central Ohio Medical Management LLC | Family Medicine | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2018-02-08 |
| 1720372691 | Jennifer C Brandt | Social Worker | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2011-06-08 |
| 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 | 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 |
|---|---|---|---|---|
| 1124559687 | Pramita Kothakota | Family Medicine | 1450 Davidson Dr, Reynoldsburg, OH 43068-2538 | 2017-03-25 |
| 1659646628 | Mount Carmel Healthproviders IIi, LLC | Family Medicine | 6699 E Livingston Ave, Reynoldsburg, OH 43068-3688 | 2012-03-09 |
| 1710152848 | Mount Carmel Health Providers Inc | Family Medicine | 6895 E Main St, Reynoldsburg, OH 43068-2289 | 2008-04-29 |
| 1497733422 | Antonio J Delrosario I | Family Medicine | 6501 E Livingston Ave, Suite 2, Reynoldsburg, OH 43068-3561 | 2006-01-09 |
| 1528044849 | Douglas R Schumacher | Family Medicine | 6488 E Main St Ste 110, Reynoldsburg, OH 43068 | 2005-12-19 |
| 1447236013 | Timothy R Mcmullen | Family Medicine | 6488 E Main St, Suite C, Reynoldsburg, OH 43068-7310 | 2005-12-15 |
| 1922092519 | Beryl M Oser | Family Medicine | 6702 E Main St, Reynoldsburg, OH 43068-2248 | 2005-09-09 |
| 1316941156 | Steven Ronald Huff | Family Medicine | 2014 Baltimore Reynoldsburg Rd, Reynoldsburg, OH 43068-3261 | 2005-06-09 |
| 1962901678 | Central Ohio Medical Management LLC | Family Medicine | 1755 Lancaster Ave, Reynoldsburg, OH 43068-3108 | 2018-02-08 |
| 1215468517 | Ghassoub Rifai | Family Medicine | 1450 Davidson Dr, Reynoldsburg, OH 43068-2538 | 2017-03-27 |
| Find all providers in REYNOLDSBURG | ||||
| City | REYNOLDSBURG |
| Zip Code | 43068 |
Please comment or provide details below to improve the information on MID OHIO MEDICAL MANAGEMENT,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.