DR. GEORGE EDWARD SEREDNESKY (NPI# 1730238916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730238916 |
| Entity Type | Individual |
| Full Name | DR. GEORGE EDWARD SEREDNESKY |
| Credential | PHD |
| Practice Address |
1000 E Broad St Suite 202 Columbus OH 43205-1381 |
| Mailing Address |
Po Box 24306 Columbus OH 43224 |
| Practice Telephone | 6142940526 |
| Practice Fax Number | 6145737441 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
1434 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MOLINA | 0262139 | 01 |
| OH | 0262139 | 05 | |
| OH | CARE SOURCE | 310874007026 | 01 |
| Street Address |
1000 E BROAD ST SUITE 202 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124017348 | John Petrie | Pharmacist | 1000 E Broad St, Columbus, OH 43205-1381 | 2005-10-20 |
| 1578020970 | Jocelyn Grace Walker | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2019-02-22 |
| 1922564608 | Kayla Nicole Perry | Pharmacy | 1000 E Broad St, Columbus, OH 43205-1381 | 2019-02-18 |
| 1811466014 | David Lee Cummings IIi | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2018-11-16 |
| 1962919340 | Von I Alvarado | Nurse Practitioner | 1000 E Broad St, Columbus, OH 43205-1381 | 2018-01-07 |
| 1316484454 | Candy Smith | Pharmacy Technician | 1000 E Broad St, Columbus, OH 43205-1381 | 2017-01-27 |
| 1598201675 | Paul A. Renzetti | Physician Assistant | 1000 E Broad St, Columbus, OH 43205-1381 | 2017-01-12 |
| 1952843278 | Katherine Dumbaugh | Pharmacy Technician | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-11-17 |
| 1942742499 | Sangita K Patel | Pharmacist | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-11-15 |
| 1588115273 | Rxo, LLC | Family Medicine | 1000 E Broad St, Columbus, OH 43205-1381 | 2016-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| 1376021022 | Deloveh Psychological Services, LLC | Psychologist | 4041 N High St Ste 300f, Columbus, OH 43214-3200 | 2018-08-04 |
| 1235636697 | Lisa Christian | Psychologist | 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 | 2018-04-11 |
| 1093226581 | Amanda Conn | Psychologist | 454 E Main St Ste 240, Columbus, OH 43215-5380 | 2017-10-24 |
| 1144749441 | Chelsea Kane | Psychologist | 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 | 2017-09-18 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1477003143 | Bethel Olentangy Psychological Services | Psychologist | 4949 Olentangy River Road, Columbus, OH 43214 | 2016-10-06 |
| 1417302209 | Kristen Hurley | Psychologist | 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 | 2016-04-28 |
| 1699135392 | Krystal Marie Hernandez-kane | Psychologist | 620 E Broad St, Columbus, OH 43215-4037 | 2016-02-24 |
| 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.