| Columbus Suboxone Doctors Llc | |
|
3225 Sullivant Ave Columbus OH 43204-1837 | |
| (614) 655-8956 | |
| (614) 748-0569 |
| Full Name | Columbus Suboxone Doctors Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3225 Sullivant Ave, Columbus, Ohio |
| Authorized Official Name and Position | Douglas Lauria (ADMINISTRATOR) |
| Authorized Official Contact | 6146558956 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbus Suboxone Doctors Llc 3225 Sullivant Ave Columbus OH 43204-1837 Ph: (614) 655-8956 | Columbus Suboxone Doctors Llc 3225 Sullivant Ave Columbus OH 43204-1837 Ph: (614) 655-8956 |
| NPI Number | 1760940696 |
|---|---|
| Provider Enumeration Date | 03/11/2019 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Medicare PECOS PAC ID | 8921341256 |
|---|---|
| Medicare Enrollment ID | O20190529002893 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760940696 | NPI | - | NPPES |
| Provider Name | James E Sturmi |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1922022748 PECOS PAC ID: 7113821521 Enrollment ID: I20040218000209 |
| Provider Name | Mark W Stanley |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528038494 PECOS PAC ID: 3577525310 Enrollment ID: I20041103000287 |
| Provider Name | Christopher J Rond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700265782 PECOS PAC ID: 5890064174 Enrollment ID: I20170629001042 |
| Provider Name | Mary Katherine Farina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255862306 PECOS PAC ID: 2264840784 Enrollment ID: I20210422002104 |
| Provider Name | Jeremy Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578273074 PECOS PAC ID: 1557727880 Enrollment ID: I20230511002367 |
| Provider Name | Ronna L Holston-kiluvia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235837899 PECOS PAC ID: 2264896398 Enrollment ID: I20230907004261 |
| Provider Name | Ashley Lynn Stepp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194407858 PECOS PAC ID: 9032566112 Enrollment ID: I20231110001918 |
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