| Equitas Health,inc | |
|
1033 N High St Columbus OH 43201 | |
| (614) 340-6717 | |
| (614) 340-6787 |
| Full Name | Equitas Health,inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1033 N High St, Columbus, Ohio |
| Authorized Official Name and Position | Equits Bond (CREDENTIALING) |
| Authorized Official Contact | 6143406717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Equitas Health,inc 1105 Schrock Rd Ste 400 Columbus OH 43229-1174 Ph: () - | Equitas Health,inc 1033 N High St Columbus OH 43201 Ph: (614) 340-6717 |
| NPI Number | 1518227453 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 10/26/2022 |
| Certification Date | 10/26/2022 |
| Medicare PECOS PAC ID | 2769638154 |
|---|---|
| Medicare Enrollment ID | O20120830000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518227453 | NPI | - | NPPES |
| Provider Name | Myles Andrew Stickle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043280175 PECOS PAC ID: 7517985526 Enrollment ID: I20051108000990 |
| Provider Name | Shiron Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851477855 PECOS PAC ID: 3870591910 Enrollment ID: I20061128000027 |
| Provider Name | Elizabeth A Weinstock |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154402469 PECOS PAC ID: 3274566484 Enrollment ID: I20070503000263 |
| Provider Name | Jeffrey Dubin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366696361 PECOS PAC ID: 4486703626 Enrollment ID: I20090519000406 |
| Provider Name | Barry Mccorkle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477592574 PECOS PAC ID: 3173665874 Enrollment ID: I20100119000264 |
| Provider Name | Keith M Luckett |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346439312 PECOS PAC ID: 1850422205 Enrollment ID: I20100629000017 |
| Provider Name | Keith Delong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629406863 PECOS PAC ID: 7113155318 Enrollment ID: I20140115001227 |
| Provider Name | Sheila E Santa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932363777 PECOS PAC ID: 6103097381 Enrollment ID: I20140311000269 |
| Provider Name | Carlos D Malvestutto |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1548466022 PECOS PAC ID: 2961670286 Enrollment ID: I20140819002027 |
| Provider Name | Tara R Doland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548672090 PECOS PAC ID: 9638398407 Enrollment ID: I20140910001898 |
| Provider Name | Jessica P Sherman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831507920 PECOS PAC ID: 2961622139 Enrollment ID: I20150414002250 |
| Provider Name | Matthew D Bauer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1962778688 PECOS PAC ID: 8224266861 Enrollment ID: I20150714000158 |
| Provider Name | David Joseph Persinger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245615889 PECOS PAC ID: 9537474820 Enrollment ID: I20150814014838 |
| Provider Name | Andrew Gadek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407230709 PECOS PAC ID: 3971819764 Enrollment ID: I20150824001644 |
| Provider Name | Megan A Olson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235515180 PECOS PAC ID: 4082921739 Enrollment ID: I20150914002147 |
| Provider Name | Karin Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871862359 PECOS PAC ID: 5597074450 Enrollment ID: I20151016000968 |
| Provider Name | David W Tessier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326483447 PECOS PAC ID: 4880917103 Enrollment ID: I20160708000813 |
| Provider Name | Sarah Fortin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841674215 PECOS PAC ID: 0941582977 Enrollment ID: I20170126001142 |
| Provider Name | Catherine Corvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831629534 PECOS PAC ID: 1557631660 Enrollment ID: I20170724000663 |
| Provider Name | Scarlett Le Blanc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225571631 PECOS PAC ID: 0446521272 Enrollment ID: I20170811002221 |
| Provider Name | Matthew A Adkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124446323 PECOS PAC ID: 3971878315 Enrollment ID: I20171010003624 |
| Provider Name | Amber M Budd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659898898 PECOS PAC ID: 5193091155 Enrollment ID: I20171019001957 |
| Provider Name | Bela M Koe-krompecher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649683251 PECOS PAC ID: 8426312307 Enrollment ID: I20180430001913 |
| Provider Name | James E Questel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689057259 PECOS PAC ID: 7911208962 Enrollment ID: I20180719004066 |
| Provider Name | Elizabeth Roebuck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306369731 PECOS PAC ID: 5496026395 Enrollment ID: I20180724001928 |
| Provider Name | Shanna Duffy Stryker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013250596 PECOS PAC ID: 0143463570 Enrollment ID: I20180821003453 |
| Provider Name | Miriam Mogilevsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083108542 PECOS PAC ID: 6507119732 Enrollment ID: I20181105002295 |
| Provider Name | Derrick Ray Lehman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154982189 PECOS PAC ID: 7012245582 Enrollment ID: I20190821002822 |
| Provider Name | Ashley A. Lipps |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1922443647 PECOS PAC ID: 6406085133 Enrollment ID: I20190903002071 |
| Provider Name | Jennifer M Nauman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265087506 PECOS PAC ID: 9234469529 Enrollment ID: I20190930002385 |
| Provider Name | Alexandra Rose Schoonover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043879570 PECOS PAC ID: 9537490768 Enrollment ID: I20191018001579 |
| Provider Name | Michael A Frost |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104487438 PECOS PAC ID: 3779815006 Enrollment ID: I20191105003223 |
| Provider Name | Nicole Allyn Schimweg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043864150 PECOS PAC ID: 4486081957 Enrollment ID: I20200221001435 |
| Provider Name | Hannah Elizabeth Cohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871134734 PECOS PAC ID: 4486085016 Enrollment ID: I20200514000332 |
| Provider Name | Amanda Marie Dawicke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376160200 PECOS PAC ID: 7214352814 Enrollment ID: I20200729003486 |
| Provider Name | Sara Hauke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093298978 PECOS PAC ID: 6507110822 Enrollment ID: I20201103002929 |
| Provider Name | Ryan Hanson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891769006 PECOS PAC ID: 1355754029 Enrollment ID: I20210120000223 |
| Provider Name | Kara Guisinger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497285563 PECOS PAC ID: 1153735220 Enrollment ID: I20210201001870 |
| Provider Name | Sarah Touvell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538717665 PECOS PAC ID: 3476953290 Enrollment ID: I20210616002125 |
| Provider Name | Yesha Patel |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1396107439 PECOS PAC ID: 7719272129 Enrollment ID: I20210803003853 |
| Provider Name | Jonathan-jay A Cashwell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1942856968 PECOS PAC ID: 5193120681 Enrollment ID: I20210820002934 |
| Provider Name | Daniel Ray Mathuews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437650413 PECOS PAC ID: 3971909755 Enrollment ID: I20210901003890 |
| Provider Name | Daleshannon Marie Larry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457021347 PECOS PAC ID: 2567860570 Enrollment ID: I20211005003477 |
| Provider Name | Christopher Neal Palcsak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083236566 PECOS PAC ID: 3779981113 Enrollment ID: I20211014003022 |
| Provider Name | La'kia Singleton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326411448 PECOS PAC ID: 6608179023 Enrollment ID: I20220110001700 |
| Provider Name | Brandy Nicole Smiley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952857609 PECOS PAC ID: 2769877372 Enrollment ID: I20220317001960 |
| Provider Name | Michael Mcdonnell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225442437 PECOS PAC ID: 4688051766 Enrollment ID: I20220510002722 |
| Provider Name | Emilia Garber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629613914 PECOS PAC ID: 3375922875 Enrollment ID: I20220613002943 |
| Provider Name | Megan Elizabeth Zaworski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134623846 PECOS PAC ID: 4789939968 Enrollment ID: I20220829003508 |
| Provider Name | William Jacobson |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1790162014 PECOS PAC ID: 0648531038 Enrollment ID: I20220908002812 |
| Provider Name | Patrick Velazquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275114738 PECOS PAC ID: 2567869902 Enrollment ID: I20220920002482 |
| Provider Name | Amanda Bowsman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699404053 PECOS PAC ID: 6901281385 Enrollment ID: I20220921002128 |
| Provider Name | Terron E. Gaiter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043672496 PECOS PAC ID: 4183009459 Enrollment ID: I20220922002355 |
| Provider Name | Christopher Crum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760972574 PECOS PAC ID: 1254682537 Enrollment ID: I20220923001398 |
| Provider Name | Caitlin M Clark |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1770107567 PECOS PAC ID: 9638543481 Enrollment ID: I20230320000621 |
| Provider Name | David Duane Campbell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1962195404 PECOS PAC ID: 0840651980 Enrollment ID: I20230804002299 |
| Provider Name | Brian Spence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083268718 PECOS PAC ID: 0941663751 Enrollment ID: I20230828000590 |
| Provider Name | Nathan Tapio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437516374 PECOS PAC ID: 1658735618 Enrollment ID: I20230911001757 |
| Provider Name | Ryan Womack |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669030318 PECOS PAC ID: 8426412230 Enrollment ID: I20230913000373 |
| Provider Name | Monshare V Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588161897 PECOS PAC ID: 9537500863 Enrollment ID: I20240516003363 |
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