HOMER MCDUFFIE JR.


Address: 547 E 11th Ave, Columbus, OH 43211-2603
Phone: 6142244506

HOMER MCDUFFIE JR. (NPI# 1770047409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770047409
Entity Type Individual
Full Name HOMER MCDUFFIE JR.
Credential CDCA
Practice Address 547 E 11th Ave
Columbus
OH 43211-2603
Practice Telephone 6142244506
Practice Fax Number 6142910118
Mailing Telephone 6142244506
Mailing Fax Number 6142910118
Enumeration Date 2019-01-28
Last Update Date 2019-01-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CDCA.163178 OH Behavioral Health & Social Service Providers

Office Location

Street Address 547 E 11TH AVE
City COLUMBUS
State OH
Zip Code 43211-2603

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649279373 Anthony Dean Agra Internal Medicine 547 E 11th Ave, Columbus, OH 43211-2603 2005-07-15
1306447883 Katie Ann Sewell Registered Nurse 547 E 11th Ave, Columbus, OH 43211-2603 2020-11-03
1447874748 Shawn Allen Farkas Counselor 547 E 11th Ave, Columbus, OH 43211-2603 2020-06-02
1497398291 Erika Paige Miller Registered Nurse 547 E 11th Ave, Columbus, OH 43211-2603 2019-10-24
1407416027 Toney J. Rothwell Registered Nurse 547 E 11th Ave, Columbus, OH 43211-2603 2019-06-17
1760949580 Toi Lynn Mccarroll Counselor 547 E 11th Ave, Columbus, OH 43211-2603 2019-02-28
1467918979 Megan Kathleen Roesch Social Worker 547 E 11th Ave, Columbus, OH 43211-2603 2019-02-20
1740758739 Kyle Richard Chambers Counselor 547 E 11th Ave, Columbus, OH 43211-2603 2018-11-07
1891263802 Tonja Lynne Odenweller Registered Nurse 547 E 11th Ave, Columbus, OH 43211-2603 2018-11-07
1770051914 Barbara Ann Brake Licensed Practical Nurse 547 E 11th Ave, Columbus, OH 43211-2603 2018-11-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851751317 Brittany A Flora Social Worker 2440 Dawnlight Avenue, Columbus, OH 43211 2016-02-26
1003289240 Akialah Haynes Specialist 1768 Cleveland Ave, Columbus, OH 43211 2015-11-10
1477955805 Geraldine Hopkins Home Health Aide 2382 Marcia Dr., Columbus, OH 43211 2014-09-17
1932460284 Moses Moiba Home Health Aide 2110 Homestead Dr, Columbus, OH 43211 2012-06-04
1912237298 Rhonte Latrice Alexander Registered Nurse 2703 Clubhouse Dr., Columbus, OH 43211 2010-01-08
1982811030 Patrick Donald Murphy I Contractor 2205 Medina, Columbus, OH 43211 2007-05-17
1053449926 Project Linden, Inc. Community/Behavioral Health 1410 Cleveland Ave., Suite #2, Columbus, OH 43211 2007-03-01
1124180062 Chester Ronald Corbitt Dentist 1598 Cleveland Ave, Columbus, OH 43211 2006-12-15
1861418295 Annette P Hilaman Dentist 2345 Cleveland Ave, Columbus, OH 43211 2006-07-15
1023065703 Maplewood Medical Center, Inc Family Medicine 2052 Cleveland Ave, Columbus, OH 43211 2006-05-28
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1417575416 Chris Burton Counselor 1017 3rd St, Columbus, IN 47201-6870 2020-07-07
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Competitor

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City COLUMBUS
Zip Code 43211

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Dataset Information

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.

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