| Osu Neuroscience Center, Llc | |
|
2050 Kenny Rd Columbus OH 43221-3502 | |
| (614) 293-4969 | |
| (614) 293-6111 |
| Full Name | Osu Neuroscience Center, Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2050 Kenny Rd, Columbus, Ohio |
| Authorized Official Name and Position | Benjamin M. Segal (DEPARTMENT CHAIR / DIVISION CHIEF) |
| Authorized Official Contact | 6142939577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu Neuroscience Center, Llc 700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 Ph: (614) 293-4969 | Osu Neuroscience Center, Llc 2050 Kenny Rd Columbus OH 43221-3502 Ph: (614) 293-4969 |
| NPI Number | 1962431817 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 11/12/2020 |
| Certification Date | 11/12/2020 |
| Medicare PECOS PAC ID | 8820990161 |
|---|---|
| Medicare Enrollment ID | O20040126000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962431817 | NPI | - | NPPES |
| 0256566 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Douglas W Scharre |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1205910502 PECOS PAC ID: 1456253632 Enrollment ID: I20040127000528 |
| Provider Name | Bakri Hassan Elsheikh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275617532 PECOS PAC ID: 0143258244 Enrollment ID: I20050729001040 |
| Provider Name | Miriam L Freimer |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1659455863 PECOS PAC ID: 3779500632 Enrollment ID: I20051031000002 |
| Provider Name | Sandra K Kostyk |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1043394810 PECOS PAC ID: 5597782458 Enrollment ID: I20051031000006 |
| Provider Name | Andrew P Slivka |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982788295 PECOS PAC ID: 4284651159 Enrollment ID: I20051031000061 |
| Provider Name | Lucretia Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639148752 PECOS PAC ID: 7719990654 Enrollment ID: I20060719000356 |
| Provider Name | Susan C Yeager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437200995 PECOS PAC ID: 0547357022 Enrollment ID: I20071031000021 |
| Provider Name | Ann Pakalnis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225024599 PECOS PAC ID: 3072602002 Enrollment ID: I20071128000814 |
| Provider Name | Joseph Chad Hoyle |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528280815 PECOS PAC ID: 3375623952 Enrollment ID: I20080108000964 |
| Provider Name | Adam D Quick |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437283918 PECOS PAC ID: 2769568880 Enrollment ID: I20080328000467 |
| Provider Name | Stephen J Kolb |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477608388 PECOS PAC ID: 0244316339 Enrollment ID: I20080331000086 |
| Provider Name | Meena Sadaf Khan |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1215154273 PECOS PAC ID: 7416022637 Enrollment ID: I20080821000479 |
| Provider Name | Ariane Park |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093977431 PECOS PAC ID: 3971649757 Enrollment ID: I20091008000177 |
| Provider Name | Yasushi Kisanuki |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1518182419 PECOS PAC ID: 9032201819 Enrollment ID: I20091030000322 |
| Provider Name | Renee Lynne Kovesci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437486933 PECOS PAC ID: 1658411152 Enrollment ID: I20091214000594 |
| Provider Name | Judith A Lima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497034516 PECOS PAC ID: 7113187469 Enrollment ID: I20120326000074 |
| Provider Name | Sarah E Grim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508190646 PECOS PAC ID: 6901066703 Enrollment ID: I20120403000116 |
| Provider Name | Noah A. Grose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831421510 PECOS PAC ID: 1658535083 Enrollment ID: I20120614000231 |
| Provider Name | Thomas N Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730386483 PECOS PAC ID: 2264697069 Enrollment ID: I20120628000602 |
| Provider Name | Dennis E Ashcraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053667337 PECOS PAC ID: 7911155270 Enrollment ID: I20120912000476 |
| Provider Name | Clarisse Justine Goas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427305127 PECOS PAC ID: 7618126566 Enrollment ID: I20121009000479 |
| Provider Name | Erica L Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679917017 PECOS PAC ID: 0244473551 Enrollment ID: I20130904001006 |
| Provider Name | Jesse W. Mindel |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1114186137 PECOS PAC ID: 3779728498 Enrollment ID: I20131105002042 |
| Provider Name | Heather R Usher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669722914 PECOS PAC ID: 6709014293 Enrollment ID: I20140107001348 |
| Provider Name | Pierre Giglio |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962450221 PECOS PAC ID: 0042292054 Enrollment ID: I20140902000828 |
| Provider Name | Michael Ryan Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629317532 PECOS PAC ID: 9234376062 Enrollment ID: I20140929002587 |
| Provider Name | Amir Adeli |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1841427143 PECOS PAC ID: 3779722632 Enrollment ID: I20141008000376 |
| Provider Name | Deepak K Gulati |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669797890 PECOS PAC ID: 5799006128 Enrollment ID: I20150610000914 |
| Provider Name | Yousef Hannawi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336476415 PECOS PAC ID: 0840436242 Enrollment ID: I20150720001372 |
| Provider Name | Archana Hinduja |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1336313865 PECOS PAC ID: 0840322814 Enrollment ID: I20150810001337 |
| Provider Name | Jessica E. Glenn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679951503 PECOS PAC ID: 0749597904 Enrollment ID: I20150921001257 |
| Provider Name | Jan M Schwab |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073980595 PECOS PAC ID: 5294035812 Enrollment ID: I20151203000155 |
| Provider Name | Kiran F Rajneesh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881919090 PECOS PAC ID: 5294035788 Enrollment ID: I20151207001069 |
| Provider Name | Jessica Truelove |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538537659 PECOS PAC ID: 3072815786 Enrollment ID: I20160112000584 |
| Provider Name | Kevin D Weber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1770875759 PECOS PAC ID: 9133369911 Enrollment ID: I20160805001629 |
| Provider Name | Vivien H Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538146907 PECOS PAC ID: 7012980725 Enrollment ID: I20160809001601 |
| Provider Name | Huynh T Webber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841653144 PECOS PAC ID: 1355636424 Enrollment ID: I20160829001393 |
| Provider Name | Katie M Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417302365 PECOS PAC ID: 1951697085 Enrollment ID: I20160915001351 |
| Provider Name | Bryan M Gough |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962795963 PECOS PAC ID: 9739476060 Enrollment ID: I20160929001347 |
| Provider Name | Randheer S Yadav |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902250277 PECOS PAC ID: 7214225713 Enrollment ID: I20161017001834 |
| Provider Name | Arun Ramamurthy |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114289683 PECOS PAC ID: 1951538974 Enrollment ID: I20161021001363 |
| Provider Name | Markisha R Wilder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538515507 PECOS PAC ID: 1355629528 Enrollment ID: I20161024001914 |
| Provider Name | Melissa L. Rentz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386093300 PECOS PAC ID: 8325326101 Enrollment ID: I20161028002062 |
| Provider Name | Crystal Epley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376091488 PECOS PAC ID: 5890064489 Enrollment ID: I20170713002168 |
| Provider Name | Sarita V Maturu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417223173 PECOS PAC ID: 5698908648 Enrollment ID: I20170727002542 |
| Provider Name | Kimberly M Ichrist |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730604265 PECOS PAC ID: 5698047538 Enrollment ID: I20170828001229 |
| Provider Name | Nabil A. Khandker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1871858415 PECOS PAC ID: 9436391406 Enrollment ID: I20170906003598 |
| Provider Name | Rozena L. Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033624564 PECOS PAC ID: 8820359789 Enrollment ID: I20180309002345 |
| Provider Name | Nicole Reed Benameur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215991823 PECOS PAC ID: 5092731950 Enrollment ID: I20180323001261 |
| Provider Name | Emilie A Vandenberg |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1487157517 PECOS PAC ID: 8325301617 Enrollment ID: I20180419001859 |
| Provider Name | Megan S. Gould |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477046449 PECOS PAC ID: 6901153063 Enrollment ID: I20180719002767 |
| Provider Name | Jaysingh Ramprasad Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538424973 PECOS PAC ID: 2961706031 Enrollment ID: I20180727000957 |
| Provider Name | Naserin M. Salameh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083105928 PECOS PAC ID: 5799036646 Enrollment ID: I20180917001403 |
| Provider Name | Peter C. Robinson |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1942697461 PECOS PAC ID: 3678882065 Enrollment ID: I20190730001824 |
| Provider Name | Sushil S. Lakhani |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1033422324 PECOS PAC ID: 2163740242 Enrollment ID: I20190812003508 |
| Provider Name | Andrew Robert Sas |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932462553 PECOS PAC ID: 7618287202 Enrollment ID: I20190820002882 |
| Provider Name | Benjamin Matthew Segal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740299361 PECOS PAC ID: 0143315051 Enrollment ID: I20190911003636 |
| Provider Name | Shirley S Ong |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1972707354 PECOS PAC ID: 0941483689 Enrollment ID: I20190925001963 |
| Provider Name | Kristi Anglin Epstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265999502 PECOS PAC ID: 5395177828 Enrollment ID: I20191121000538 |
| Provider Name | Sylvia Awadalla |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891711107 PECOS PAC ID: 2668448077 Enrollment ID: I20200108002545 |
| Provider Name | Deborah Rae Hartnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144876129 PECOS PAC ID: 9537594965 Enrollment ID: I20200114000142 |
| Provider Name | James V. Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1710220538 PECOS PAC ID: 3779918958 Enrollment ID: I20200116000340 |
| Provider Name | Kelly Orman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083267934 PECOS PAC ID: 6002244886 Enrollment ID: I20200309002091 |
| Provider Name | Allison L.m. Jordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073932406 PECOS PAC ID: 2961723614 Enrollment ID: I20200617001455 |
| Provider Name | Danielle A Becker |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134381759 PECOS PAC ID: 6204051527 Enrollment ID: I20200702002540 |
| Provider Name | Tirisham V. Gyang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1326339318 PECOS PAC ID: 7416228077 Enrollment ID: I20200925002566 |
| Provider Name | Sammy Suleiman Abukwiek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558971077 PECOS PAC ID: 5799104501 Enrollment ID: I20200929000397 |
| Provider Name | Sarah M. Heintzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124638762 PECOS PAC ID: 9032529714 Enrollment ID: I20201109001399 |
| Provider Name | Michael Schonberger |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649574831 PECOS PAC ID: 3274841648 Enrollment ID: I20210310003077 |
| Provider Name | Patrick Christopher Hartnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356954614 PECOS PAC ID: 5395153324 Enrollment ID: I20210412002638 |
| Provider Name | Soumya Bouchachi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1225491582 PECOS PAC ID: 5698184067 Enrollment ID: I20210514002155 |
| Provider Name | Michael C. Isfort |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073908760 PECOS PAC ID: 9032408265 Enrollment ID: I20210720002528 |
| Provider Name | Ricky A Cantrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154995512 PECOS PAC ID: 6002219631 Enrollment ID: I20210720003144 |
| Provider Name | Caitlyn L. Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609458041 PECOS PAC ID: 1951704428 Enrollment ID: I20210721000951 |
| Provider Name | Cole A Harrington |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588082796 PECOS PAC ID: 9638463268 Enrollment ID: I20210722001364 |
| Provider Name | Xiaojun Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1881120012 PECOS PAC ID: 4183998685 Enrollment ID: I20210723000272 |
| Provider Name | Kristie Lynn Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821663311 PECOS PAC ID: 9234534454 Enrollment ID: I20210825002559 |
| Provider Name | Yinan Zhang |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1215324314 PECOS PAC ID: 4082945886 Enrollment ID: I20210902000995 |
| Provider Name | Alicia M. Zha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1629337894 PECOS PAC ID: 3274774039 Enrollment ID: I20210913003184 |
| Provider Name | Kristina Thurin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962883405 PECOS PAC ID: 2567765381 Enrollment ID: I20211006002730 |
| Provider Name | James Francis Burke |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1528185246 PECOS PAC ID: 8224224001 Enrollment ID: I20211117002576 |
| Provider Name | Kevin Anthony Kerber |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1083639819 PECOS PAC ID: 1153398185 Enrollment ID: I20211207000569 |
| Provider Name | Nicolette Kathleen Youtzy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497422851 PECOS PAC ID: 9133510993 Enrollment ID: I20220105001499 |
| Provider Name | Kendall A. Bader |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306597539 PECOS PAC ID: 6305230178 Enrollment ID: I20220222001578 |
| Provider Name | Rebecca A. Reneker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396407037 PECOS PAC ID: 8123414265 Enrollment ID: I20220329002952 |
| Provider Name | Jan Bittar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760832430 PECOS PAC ID: 2365730348 Enrollment ID: I20220627002984 |
| Provider Name | Rami Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093210684 PECOS PAC ID: 5294085072 Enrollment ID: I20220715002446 |
| Provider Name | Andrew Mark Bryant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023509858 PECOS PAC ID: 8022499326 Enrollment ID: I20220718003087 |
| Provider Name | Mary E. Petrulis |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578083614 PECOS PAC ID: 7719364660 Enrollment ID: I20220908003577 |
| Provider Name | Kimberly Marie Springer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376199612 PECOS PAC ID: 1557792538 Enrollment ID: I20220909002815 |
| Provider Name | Mhd Ezzat Zaghlouleh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1811242639 PECOS PAC ID: 3072808815 Enrollment ID: I20220912001501 |
| Provider Name | Ana E Verdecia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1255866893 PECOS PAC ID: 6608146097 Enrollment ID: I20220915000445 |
| Provider Name | Zachary B Jordan |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1275995342 PECOS PAC ID: 4385939479 Enrollment ID: I20220915002875 |
| Provider Name | Matthew Burford |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104112945 PECOS PAC ID: 3870722770 Enrollment ID: I20221006002767 |
| Provider Name | Pietro Mazzoni |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427112176 PECOS PAC ID: 1557379245 Enrollment ID: I20221007001528 |
| Provider Name | Kierra D Dye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215663281 PECOS PAC ID: 6507232675 Enrollment ID: I20221013002756 |
| Provider Name | Taylor Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275269607 PECOS PAC ID: 2668848714 Enrollment ID: I20221014001995 |
| Provider Name | Maryam Saleh Mian |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437689692 PECOS PAC ID: 3971874488 Enrollment ID: I20221019002567 |
| Provider Name | Kristina Nicole Knickerbocker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053045195 PECOS PAC ID: 3274901046 Enrollment ID: I20221129001395 |
| Provider Name | Sarah Eizabeth Pollard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841924651 PECOS PAC ID: 7618348517 Enrollment ID: I20230131001674 |
| Provider Name | Emily M Webster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013421940 PECOS PAC ID: 6800268103 Enrollment ID: I20230215001026 |
| Provider Name | Rochelle Lynn O'neil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487180394 PECOS PAC ID: 1759657547 Enrollment ID: I20230306002477 |
| Provider Name | Samantha Marie Vlasic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215642756 PECOS PAC ID: 2668846916 Enrollment ID: I20230328001215 |
| Provider Name | Margaret M Beigel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1609372689 PECOS PAC ID: 9133479405 Enrollment ID: I20230630001886 |
| Provider Name | Dharti Dua |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306340492 PECOS PAC ID: 6901159524 Enrollment ID: I20230711003217 |
| Provider Name | Lauren Amber Croghan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164122289 PECOS PAC ID: 9234598004 Enrollment ID: I20230711003732 |
| Provider Name | Matthew T Gusler |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1477903748 PECOS PAC ID: 9739468448 Enrollment ID: I20230712001788 |
| Provider Name | Alfred L Paige |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1801828454 PECOS PAC ID: 8527028034 Enrollment ID: I20230713003775 |
| Provider Name | Hera A Kamdar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1750812178 PECOS PAC ID: 4587936729 Enrollment ID: I20230804001169 |
| Provider Name | Mohamed Ridha |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952751471 PECOS PAC ID: 4183980048 Enrollment ID: I20230808002349 |
| Provider Name | Claire N Speelman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851076152 PECOS PAC ID: 0547623316 Enrollment ID: I20230825002387 |
| Provider Name | Jacey M Martinis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326730607 PECOS PAC ID: 4284088485 Enrollment ID: I20230921001865 |
| Provider Name | Veronica A Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629532353 PECOS PAC ID: 7618204165 Enrollment ID: I20231013001283 |
| Provider Name | Jessica Pommy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962959650 PECOS PAC ID: 8224413554 Enrollment ID: I20231206002384 |
| Provider Name | Kalpana Tripathee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356022529 PECOS PAC ID: 2567815624 Enrollment ID: I20240125001924 |
| Provider Name | Pawan K Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588003131 PECOS PAC ID: 3274773189 Enrollment ID: I20240223002850 |
| Provider Name | Megan L Heagerty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134821382 PECOS PAC ID: 8224476874 Enrollment ID: I20240402003219 |
| Provider Name | Jorge Luis Morales |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1457811689 PECOS PAC ID: 2769823426 Enrollment ID: I20240513000397 |
Psychiatry Providers At East Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5965 E Broad St, Suite 370, Columbus, OH 43213 Phone: 614-866-5555 | |
Applied Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Snouffer Rd, Columbus, OH 43235 Phone: 614-984-3740 | |
Next Step Recovery Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6161 Busch Blvd Ste 290, Columbus, OH 43229 Phone: 614-987-5003 Fax: 614-987-5167 | |
Gracehaven Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Arlington Centre Blvd # 9b, Columbus, OH 43220 Phone: 614-665-0665 | |
Beyond The Storm Counseling And Consultation, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3493 Bigby Hollow Ct, Columbus, OH 43228 Phone: 614-975-7899 | |
Gerlach, Lear & Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 941 Chatham Ln, Suite 103, Columbus, OH 43221 Phone: 614-451-9401 Fax: 614-451-8113 | |
Steven S. Schwartz, Ph.d. & Associates, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7650 Rivers Edge Dr, Suite 140, Columbus, OH 43235 Phone: 614-841-1101 Fax: 614-841-1957 |