DR. ROBERT JOHN GRAESSLE (NPI# 1629274139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629274139 |
Entity Type | Individual |
Full Name | DR. ROBERT JOHN GRAESSLE |
Credential | DO |
Practice Address |
815 W Broad St Ste 200 Columbus OH 43222-1478 |
Practice Telephone | 6147991906 |
Mailing Telephone | 6147991906 |
Enumeration Date | 2007-06-22 |
Last Update Date | 2020-09-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207P00000X | Emergency Medicine | 34009785 | OH | Allopathic & Osteopathic Physicians |
N | 207P00000X | Emergency Medicine | 5101017440 | MI | Allopathic & Osteopathic Physicians |
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
34.009785 | OH | Allopathic & Osteopathic Physicians |
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
34.009785 | OH | Allopathic & Osteopathic Physicians |
Street Address |
815 W BROAD ST STE 200 |
City | COLUMBUS |
State | OH |
Zip Code | 43222-1478 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508946559 | Ruth Ellen Lyons | Social Worker | 815 W Broad St Ste 200, Columbus, OH 43222-1478 | 2006-10-16 |
1730702333 | Basecamp Recovery LLC | Counselor | 815 W Broad St Ste 200, Columbus, OH 43222-1478 | 2020-05-19 |
1457643637 | Bryan David Borland | Emergency Medicine | 815 W Broad St Ste 200, Columbus, OH 43222-1478 | 2011-05-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447893284 | Columbus Neighborhood Health Center, Inc. Dba Primaryone Health | Clinic/Center | 730 W. Town Street, Columbus, OH 43222 | 2019-10-24 |
1760037006 | New Hope Behavioral Health, LLC | Counselor | 775 W. Broad St., Suite 210, Columbus, OH 43222 | 2019-08-05 |
1649623208 | Carol Leslie Eppler | Social Worker | 1251 W. Broad St, Maryhaven@lower Lights Christian Health Center, Columbus, OH 43222 | 2016-07-19 |
1457770471 | Hareesh Venkata Singam | Student in an Organized Health Care Education/Training Program | 793 W. State St., Columbus, OH 43222 | 2014-04-08 |
1629243373 | Jeffrey Eric Salon | Internal Medicine | 745 West State, Suite 610, Columbus, OH 43222 | 2008-04-24 |
1821110693 | Ashita Sinha | Hospitalist | 793 W.state St., Mount Carmel Hospital ( Columbus Inpatient Care Group), Columbus, OH 43222 | 2007-04-04 |
1124194204 | Mary Elizabeth Sparks | Social Worker | 1810 Sullivant Ave, Columbus, OH 43222 | 2006-11-28 |
1437222346 | Brandie M Price | Registered Nurse | 793 West State St, Columbus, OH 43222 | 2006-11-16 |
1467535641 | Bernard Andrew Bronczyk | Family Medicine | 1601 W Broad, Columbus, OH 43222 | 2006-10-23 |
1245328251 | Neil Alan Miller | Registered Nurse | 793 W State Street, Mt Carmel Medical Center, Columbus, OH 43222 | 2006-10-11 |
Find all providers in zip 43222 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
1952373268 | Billy Oral Barclay | Psychiatry & Neurology | 1654 Upham Dr, Columbus, OH 43210-1250 | 2006-02-02 |
1255778502 | Premier Recovery Center, LLC | Psychiatry & Neurology | 4449 Easton Way Ste 200, Columbus, OH 43219-6093 | 2013-05-28 |
1669512877 | Casia Elizabeth Horseman | Psychiatry & Neurology | 1670 Upham Dr, Columbus, OH 43210-1250 | 2007-02-07 |
1083777866 | Pedro Weisleder | Psychiatry & Neurology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2006-12-19 |
1164521001 | Keun Hee Lim | Psychiatry & Neurology | 543 Taylor Ave, 116a, Columbus, OH 43203-1278 | 2006-09-21 |
1801854724 | Ohio State University | Psychiatry & Neurology | 181 Taylor Ave, Columbus, OH 43203-1779 | 2006-05-02 |
1699736165 | Jorge Alberto Vidaurre | Psychiatry & Neurology | 555 S 18th St, Columbus, OH 43205-2696 | 2006-03-31 |
1669468401 | Chang-yong Tsao | Psychiatry & Neurology | 700 Childrens Dr, Columbus, OH 43205-2664 | 2005-09-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689211898 | Jessica Lynn Rothgeb | Psychiatry & Neurology | 1510 Seneca St, Sandusky, OH 44870-3059 | 2019-12-06 |
1023213105 | Richard Joseph Defranco | Psychiatry & Neurology | 12409 Lorain Ave, Cleveland, OH 44111-3515 | 2007-06-18 |
1871685347 | Pythias Damon Jones | Psychiatry & Neurology | 3645 Warrensville Center Rd, #216, Shaker Heights, OH 44122-5247 | 2006-09-29 |
1649383340 | North Canton Medical Foundation | Psychiatry & Neurology | 6513 Frank Ave Nw, North Canton, OH 44720-7265 | 2006-08-16 |
1528021201 | Mary J Gombash | Psychiatry & Neurology | 4571 Westbourne Rd, Toledo, OH 43623-2015 | 2006-04-11 |
1245228717 | Richard A Nockowitz | Psychiatry & Neurology | 1800 Allentown Rd, Lima, OH 45805-1873 | 2005-10-10 |
1356338222 | Giridhar Singh | Psychiatry & Neurology | 349 Olde Ridenour Rd, Gahanna, OH 43230-2528 | 2005-10-05 |
1194717454 | John Charles Andreozzi | Psychiatry & Neurology | 1660 Nave Rd Se, Massillon, OH 44646 | 2005-08-22 |
1023017720 | Azeem Qureshi | Psychiatry & Neurology | 4425 Wyandotte Woods Blvd, Dublin, OH 43016-8661 | 2005-07-15 |
1255950739 | Addiction Campuses Professional Services of Ohio, LLC | Psychiatry & Neurology | 2650 Lodge Rd Sw, Sherrodsville, OH 44675-9718 | 2020-04-14 |
Find all providers with the same taxonomy |
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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.