| Osup Community Outreach Llc | |
|
555 Metro Pl N Dublin OH 43017-5362 | |
| (614) 410-9580 | |
| (614) 844-4589 |
| Full Name | Osup Community Outreach Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 555 Metro Pl N, Dublin, Ohio |
| Authorized Official Name and Position | Kyle L. Sharp (ASSOCIATE EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 6142933202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osup Community Outreach Llc 700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 Ph: (614) 685-4601 | Osup Community Outreach Llc 555 Metro Pl N Dublin OH 43017-5362 Ph: (614) 410-9580 |
| NPI Number | 1699179929 |
|---|---|
| Provider Enumeration Date | 10/15/2014 |
| Last Update Date | 01/26/2023 |
| Certification Date | 01/26/2023 |
| Medicare PECOS PAC ID | 5799008082 |
|---|---|
| Medicare Enrollment ID | O20141217001070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699179929 | NPI | - | NPPES |
| DV2507 | Other | OH | RAILROAD MEDICARE |
| 0112258 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | Frank Orth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912954041 PECOS PAC ID: 1052215480 Enrollment ID: I20031208000011 |
| Provider Name | John Allen Ireton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821087610 PECOS PAC ID: 0446158430 Enrollment ID: I20031229000840 |
| Provider Name | Robert A Sivier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306897640 PECOS PAC ID: 7911807748 Enrollment ID: I20040109000396 |
| Provider Name | Brian P Fahey |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1124189931 PECOS PAC ID: 2769382696 Enrollment ID: I20040116000011 |
| Provider Name | Ann Michelle Mclean |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1851452510 PECOS PAC ID: 3072414630 Enrollment ID: I20040116000234 |
| Provider Name | Yixin Lin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1376606756 PECOS PAC ID: 9335040914 Enrollment ID: I20040116000339 |
| Provider Name | Bradford Wendell Cotton |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306803994 PECOS PAC ID: 9830091719 Enrollment ID: I20040122000045 |
| Provider Name | Hussein I Kashk |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1053317073 PECOS PAC ID: 0244132538 Enrollment ID: I20040126000907 |
| Provider Name | Adam Craig Weiser |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1023059680 PECOS PAC ID: 6204729486 Enrollment ID: I20040203000266 |
| Provider Name | David Dowon Jung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902862683 PECOS PAC ID: 9638062490 Enrollment ID: I20040205000261 |
| Provider Name | Yoichi C Imamura |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679687479 PECOS PAC ID: 5496643868 Enrollment ID: I20040308000662 |
| Provider Name | Christopher Brown |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1912958935 PECOS PAC ID: 2264421874 Enrollment ID: I20040510000435 |
| Provider Name | Gary R Katz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467532184 PECOS PAC ID: 4688655814 Enrollment ID: I20040525001057 |
| Provider Name | Natalie M. Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255345948 PECOS PAC ID: 0547247041 Enrollment ID: I20040701001678 |
| Provider Name | Howard Bialick |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609870237 PECOS PAC ID: 1355311135 Enrollment ID: I20040728001743 |
| Provider Name | William P Gianakopoulos |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1841239142 PECOS PAC ID: 1951373810 Enrollment ID: I20040811000143 |
| Provider Name | Cathy Jo Comerci |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205824687 PECOS PAC ID: 3870561673 Enrollment ID: I20040920000945 |
| Provider Name | Thomas Robert Randall |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326012832 PECOS PAC ID: 5597734673 Enrollment ID: I20040927000176 |
| Provider Name | Mimi A Ghosh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538122809 PECOS PAC ID: 5890755714 Enrollment ID: I20041014001242 |
| Provider Name | Matthew James Sanders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134183072 PECOS PAC ID: 9032172986 Enrollment ID: I20041110001361 |
| Provider Name | Joel M. Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013048800 PECOS PAC ID: 6002871753 Enrollment ID: I20041123000006 |
| Provider Name | Lori Sargeant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467490219 PECOS PAC ID: 7810893815 Enrollment ID: I20041210000214 |
| Provider Name | Janardan R Tallam |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255316204 PECOS PAC ID: 5890752091 Enrollment ID: I20041219000010 |
| Provider Name | Mahesh S Sandhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679532279 PECOS PAC ID: 4789574880 Enrollment ID: I20050202000058 |
| Provider Name | Ewa Mrozek |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1972518314 PECOS PAC ID: 4880647924 Enrollment ID: I20050301000289 |
| Provider Name | John G Terpstra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528171030 PECOS PAC ID: 4880633486 Enrollment ID: I20050503000003 |
| Provider Name | Michelle R Barcelona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831210178 PECOS PAC ID: 7416861158 Enrollment ID: I20050520000420 |
| Provider Name | Christopher K Madison |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326015504 PECOS PAC ID: 8426082983 Enrollment ID: I20050923000305 |
| Provider Name | Jeffrey Louis Pay |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114954948 PECOS PAC ID: 9830102300 Enrollment ID: I20060731000018 |
| Provider Name | David B Hill |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548209018 PECOS PAC ID: 5092719948 Enrollment ID: I20060907000001 |
| Provider Name | Mohamed H Hamza |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720060940 PECOS PAC ID: 8325045214 Enrollment ID: I20061108000003 |
| Provider Name | Robert A Girmann |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1871520643 PECOS PAC ID: 7012991821 Enrollment ID: I20070130000024 |
| Provider Name | John J Parente |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114935947 PECOS PAC ID: 4789686247 Enrollment ID: I20070213000189 |
| Provider Name | Rudd J Bare |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801946595 PECOS PAC ID: 2062516545 Enrollment ID: I20070323000182 |
| Provider Name | Mark A Denny |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801863626 PECOS PAC ID: 3072546456 Enrollment ID: I20070717000383 |
| Provider Name | Steven M Kordis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144386699 PECOS PAC ID: 2466545678 Enrollment ID: I20070904000685 |
| Provider Name | Robert S Pema |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1194838458 PECOS PAC ID: 6608864616 Enrollment ID: I20080123000180 |
| Provider Name | Sherry L Wach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215116983 PECOS PAC ID: 8022190701 Enrollment ID: I20080204000236 |
| Provider Name | Mark E Gebhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831176155 PECOS PAC ID: 5496743668 Enrollment ID: I20080205000253 |
| Provider Name | Brenda J Sickle Santanello |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548259492 PECOS PAC ID: 9739122565 Enrollment ID: I20080211000838 |
| Provider Name | Angela Kay Ferrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871790048 PECOS PAC ID: 1052497930 Enrollment ID: I20080319000060 |
| Provider Name | Punit Agrawal |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1578787990 PECOS PAC ID: 1456437581 Enrollment ID: I20080328000515 |
| Provider Name | Richard Skibicki |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699781401 PECOS PAC ID: 6507939394 Enrollment ID: I20080728000263 |
| Provider Name | Syed Z Husain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487640694 PECOS PAC ID: 6608936661 Enrollment ID: I20081120000282 |
| Provider Name | Abdal Rahman Alhyari |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205051570 PECOS PAC ID: 5698831022 Enrollment ID: I20090310000006 |
| Provider Name | Suzanne Corado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477702868 PECOS PAC ID: 0244387231 Enrollment ID: I20090408000472 |
| Provider Name | William R Bernhart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528124054 PECOS PAC ID: 7214008952 Enrollment ID: I20090516000000 |
| Provider Name | Corey M Amann |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972763779 PECOS PAC ID: 3274684014 Enrollment ID: I20090707000728 |
| Provider Name | Leanna M Withrow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1861699548 PECOS PAC ID: 3577690080 Enrollment ID: I20100414000757 |
| Provider Name | Tiffany C Thomas-lakia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295948198 PECOS PAC ID: 9638209117 Enrollment ID: I20100609000726 |
| Provider Name | Frederick Taylor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1558527192 PECOS PAC ID: 5193859213 Enrollment ID: I20100811000633 |
| Provider Name | Timothy J Comte |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821214990 PECOS PAC ID: 6608992086 Enrollment ID: I20100922000851 |
| Provider Name | Steventon Wagner |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1598854184 PECOS PAC ID: 4789588278 Enrollment ID: I20101102000810 |
| Provider Name | Steven R Conover |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952300865 PECOS PAC ID: 6305747270 Enrollment ID: I20110110000012 |
| Provider Name | Sarah J Clawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306078142 PECOS PAC ID: 5597940551 Enrollment ID: I20110506000399 |
| Provider Name | Audra H Woods |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1235449554 PECOS PAC ID: 3476725912 Enrollment ID: I20111005000899 |
| Provider Name | Darren J Sommer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578512356 PECOS PAC ID: 4486677192 Enrollment ID: I20111010000520 |
| Provider Name | Bruce G Jones |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1720144215 PECOS PAC ID: 0749454031 Enrollment ID: I20111123000181 |
| Provider Name | Gordon S Appelbaum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245200674 PECOS PAC ID: 1456342641 Enrollment ID: I20120402000398 |
| Provider Name | Hope Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801161013 PECOS PAC ID: 9133382062 Enrollment ID: I20120511000578 |
| Provider Name | Robert J Day |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558504837 PECOS PAC ID: 6507012606 Enrollment ID: I20120806000359 |
| Provider Name | Julio C Galindo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508144064 PECOS PAC ID: 8820239601 Enrollment ID: I20130719000512 |
| Provider Name | Stephen T Olson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124247887 PECOS PAC ID: 6507013711 Enrollment ID: I20130723001036 |
| Provider Name | Betsy L Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083055602 PECOS PAC ID: 9234372111 Enrollment ID: I20130823001252 |
| Provider Name | Sheldon H Rose |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649406455 PECOS PAC ID: 2365629995 Enrollment ID: I20130917000266 |
| Provider Name | Sarah B Hartfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487094496 PECOS PAC ID: 5193959492 Enrollment ID: I20130927000352 |
| Provider Name | Karen M Yuhas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720378359 PECOS PAC ID: 7214161587 Enrollment ID: I20130930000371 |
| Provider Name | Craig Steven Berg |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1891034708 PECOS PAC ID: 0547492878 Enrollment ID: I20140418000721 |
| Provider Name | Angela F Mattke |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1083672786 PECOS PAC ID: 9234141656 Enrollment ID: I20140520002060 |
| Provider Name | Linda R Boyd |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497712780 PECOS PAC ID: 9133283039 Enrollment ID: I20140825001038 |
| Provider Name | Corey Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346659125 PECOS PAC ID: 5395965206 Enrollment ID: I20140927000002 |
| Provider Name | Laurel Barr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417241605 PECOS PAC ID: 0749400802 Enrollment ID: I20141013001936 |
| Provider Name | Karen Green |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659669646 PECOS PAC ID: 5294967170 Enrollment ID: I20141029000478 |
| Provider Name | Paula Jayne Fortner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639577026 PECOS PAC ID: 8426373135 Enrollment ID: I20150220000404 |
| Provider Name | Telemate Sokari |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386871580 PECOS PAC ID: 1951628536 Enrollment ID: I20150318002539 |
| Provider Name | Huyen Ngoc T Bartholomew |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154346658 PECOS PAC ID: 3072517994 Enrollment ID: I20150617002977 |
| Provider Name | Michael R Tiso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326330440 PECOS PAC ID: 2860633203 Enrollment ID: I20150630001577 |
| Provider Name | Christina M Maier |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144584921 PECOS PAC ID: 2365757903 Enrollment ID: I20150812006460 |
| Provider Name | Stephen H Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427474527 PECOS PAC ID: 8628383130 Enrollment ID: I20150813009513 |
| Provider Name | Lindsey Renee Tann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447658026 PECOS PAC ID: 0042525388 Enrollment ID: I20150817001136 |
| Provider Name | Seth Ochieng Agiro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477819308 PECOS PAC ID: 5395054191 Enrollment ID: I20151019000276 |
| Provider Name | Michael S Abrahams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487098463 PECOS PAC ID: 6002118908 Enrollment ID: I20160108002614 |
| Provider Name | Derrick J Nitsche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801139209 PECOS PAC ID: 4183915861 Enrollment ID: I20160628001328 |
| Provider Name | Matthew L Nyholm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134564743 PECOS PAC ID: 4789812173 Enrollment ID: I20160802000210 |
| Provider Name | John M Boltri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730155128 PECOS PAC ID: 6608063987 Enrollment ID: I20160812001955 |
| Provider Name | Sumit Bassi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326314352 PECOS PAC ID: 4486873833 Enrollment ID: I20160916002379 |
| Provider Name | Joshua E Glupker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1164701389 PECOS PAC ID: 4486941390 Enrollment ID: I20160920003118 |
| Provider Name | Stephen J Nogan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285922179 PECOS PAC ID: 2264660224 Enrollment ID: I20160922002709 |
| Provider Name | Cody Elam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518319912 PECOS PAC ID: 7012204233 Enrollment ID: I20160930002163 |
| Provider Name | Jennifer Ann Kunzler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720434418 PECOS PAC ID: 4183912462 Enrollment ID: I20161019003118 |
| Provider Name | Misty M Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326596966 PECOS PAC ID: 9638457401 Enrollment ID: I20161028001567 |
| Provider Name | Krista J Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699124784 PECOS PAC ID: 9931489697 Enrollment ID: I20161215000492 |
| Provider Name | Jenice R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437601341 PECOS PAC ID: 8628359221 Enrollment ID: I20161219001678 |
| Provider Name | Lindsey Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639628159 PECOS PAC ID: 4183906886 Enrollment ID: I20170112001246 |
| Provider Name | Eric C Storts |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881980605 PECOS PAC ID: 6800014713 Enrollment ID: I20170412001399 |
| Provider Name | Christopher E San Miguel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205241924 PECOS PAC ID: 5294046421 Enrollment ID: I20170512000741 |
| Provider Name | Shawn C. Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104366731 PECOS PAC ID: 4284901224 Enrollment ID: I20170523002974 |
| Provider Name | Adeleye A Edon |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306105804 PECOS PAC ID: 7214215102 Enrollment ID: I20170613000234 |
| Provider Name | Brian S Dean |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1497894562 PECOS PAC ID: 4183777014 Enrollment ID: I20170620002470 |
| Provider Name | Stephen Michael Roberts |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1750322970 PECOS PAC ID: 9638078967 Enrollment ID: I20170810002847 |
| Provider Name | Eric Bachrach |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679787071 PECOS PAC ID: 7416132329 Enrollment ID: I20170922001583 |
| Provider Name | Shana Whitney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740799147 PECOS PAC ID: 7416223359 Enrollment ID: I20171020002627 |
| Provider Name | Kaitlin E Angle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144747270 PECOS PAC ID: 0042586786 Enrollment ID: I20171024001842 |
| Provider Name | Moshood Karimu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730462771 PECOS PAC ID: 8527231562 Enrollment ID: I20171121003410 |
| Provider Name | Lesley Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720591373 PECOS PAC ID: 1557620622 Enrollment ID: I20180117002328 |
| Provider Name | Cara C Mounts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962706416 PECOS PAC ID: 9335498864 Enrollment ID: I20180816002559 |
| Provider Name | Marie L. Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225514227 PECOS PAC ID: 1052660149 Enrollment ID: I20180822003889 |
| Provider Name | Ari Seth Gotlib |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1679838742 PECOS PAC ID: 6002137387 Enrollment ID: I20180829002948 |
| Provider Name | Andrea Goedel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922592914 PECOS PAC ID: 4183977234 Enrollment ID: I20181019000956 |
| Provider Name | Stephanie A Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912480229 PECOS PAC ID: 8628312303 Enrollment ID: I20181206002149 |
| Provider Name | Rasha Elhag |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1821475054 PECOS PAC ID: 6709181969 Enrollment ID: I20181220002881 |
| Provider Name | Courtney N Herendeen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275017840 PECOS PAC ID: 5496091100 Enrollment ID: I20190116001992 |
| Provider Name | Kimberly Margaret Holland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801367115 PECOS PAC ID: 2961748652 Enrollment ID: I20190117001148 |
| Provider Name | Donald Lee Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538632666 PECOS PAC ID: 6800135161 Enrollment ID: I20190304001483 |
| Provider Name | Alexander J Stuber |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003260902 PECOS PAC ID: 5799078150 Enrollment ID: I20190429002448 |
| Provider Name | Adam G Manko |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316266190 PECOS PAC ID: 0244473411 Enrollment ID: I20190708002523 |
| Provider Name | Wenli Wang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801089099 PECOS PAC ID: 2668518937 Enrollment ID: I20190827001606 |
| Provider Name | Laura J. Youssef |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649739582 PECOS PAC ID: 0648501510 Enrollment ID: I20191007002655 |
| Provider Name | Jeffrey Dewayne Aloisio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780240382 PECOS PAC ID: 0941531503 Enrollment ID: I20191011001784 |
| Provider Name | Jessica M. Schumacher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295399327 PECOS PAC ID: 9234460726 Enrollment ID: I20191015001406 |
| Provider Name | Jacqueline G. Sawyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780248443 PECOS PAC ID: 0446582183 Enrollment ID: I20191029002152 |
| Provider Name | Erin M Oberlander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861053621 PECOS PAC ID: 1355673724 Enrollment ID: I20191105000286 |
| Provider Name | Julie Ann Gallagher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861044158 PECOS PAC ID: 9234563370 Enrollment ID: I20191226001883 |
| Provider Name | Joshua Jacobson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427474964 PECOS PAC ID: 5092004929 Enrollment ID: I20200121000838 |
| Provider Name | Holly Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073159158 PECOS PAC ID: 5890120711 Enrollment ID: I20200122001929 |
| Provider Name | Randon S Welton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518953421 PECOS PAC ID: 7315131919 Enrollment ID: I20200228000597 |
| Provider Name | Jannifer L Smearsoll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477957058 PECOS PAC ID: 2264860295 Enrollment ID: I20200325000801 |
| Provider Name | Lindsey Adelle Amann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942852181 PECOS PAC ID: 3476982398 Enrollment ID: I20200327002739 |
| Provider Name | Matthew Ebling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770534075 PECOS PAC ID: 9739261033 Enrollment ID: I20200408004285 |
| Provider Name | Morgan Steiskal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013558097 PECOS PAC ID: 3577993997 Enrollment ID: I20200424002261 |
| Provider Name | Matthew D Smith |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538270376 PECOS PAC ID: 9830124288 Enrollment ID: I20200505001356 |
| Provider Name | Bridget Onders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538691597 PECOS PAC ID: 9234409541 Enrollment ID: I20200505001696 |
| Provider Name | Ciprian Crismaru |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043266190 PECOS PAC ID: 2567412687 Enrollment ID: I20200521001074 |
| Provider Name | Shaifali Batra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306208160 PECOS PAC ID: 6507151909 Enrollment ID: I20200625001860 |
| Provider Name | George R Sontag |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1457888919 PECOS PAC ID: 0042588857 Enrollment ID: I20200723001514 |
| Provider Name | Elisabeth Whipkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063945111 PECOS PAC ID: 4486928017 Enrollment ID: I20200828001044 |
| Provider Name | Ha Minh Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376778076 PECOS PAC ID: 2567698178 Enrollment ID: I20201002002827 |
| Provider Name | Darius Shams |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043715600 PECOS PAC ID: 2264784305 Enrollment ID: I20201216003247 |
| Provider Name | Christina Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912456609 PECOS PAC ID: 5294015814 Enrollment ID: I20210125000331 |
| Provider Name | Emma K Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447855721 PECOS PAC ID: 9335549971 Enrollment ID: I20210617003085 |
| Provider Name | John T Langell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1376567768 PECOS PAC ID: 2163424979 Enrollment ID: I20210806001438 |
| Provider Name | Alicia Bond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205280625 PECOS PAC ID: 5496035834 Enrollment ID: I20210818004179 |
| Provider Name | Kelly Marquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275115461 PECOS PAC ID: 2961809116 Enrollment ID: I20210930001868 |
| Provider Name | Andrew J Lawson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1730408550 PECOS PAC ID: 9638312952 Enrollment ID: I20211020002989 |
| Provider Name | Jeremy Welwarth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1841587649 PECOS PAC ID: 4385967751 Enrollment ID: I20211029002308 |
| Provider Name | Jacob Holloway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851751630 PECOS PAC ID: 0749562163 Enrollment ID: I20220325001998 |
| Provider Name | Shireen Shatti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326705336 PECOS PAC ID: 8123414232 Enrollment ID: I20220329001978 |
| Provider Name | Brian Michael Byrne |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1518595982 PECOS PAC ID: 6800218322 Enrollment ID: I20220404000852 |
| Provider Name | Mercydes Leigh Prewett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780254888 PECOS PAC ID: 0749667210 Enrollment ID: I20220523001447 |
| Provider Name | Harrison J. Zeitler |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972161842 PECOS PAC ID: 0941534929 Enrollment ID: I20220607000736 |
| Provider Name | Michael Sam Estephan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1831652320 PECOS PAC ID: 2264810035 Enrollment ID: I20220607001583 |
| Provider Name | Chidoziri Conrad Nwokoro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043751183 PECOS PAC ID: 3678843927 Enrollment ID: I20220720001157 |
| Provider Name | Lori Wenning |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629662820 PECOS PAC ID: 3971580713 Enrollment ID: I20220808000851 |
| Provider Name | Angela Wen Gates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053046805 PECOS PAC ID: 3577948629 Enrollment ID: I20220910000072 |
| Provider Name | Kaitlyn R. Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811621386 PECOS PAC ID: 3173991692 Enrollment ID: I20221115000226 |
| Provider Name | Samuel Paul Palumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508515859 PECOS PAC ID: 2062882574 Enrollment ID: I20221227002361 |
| Provider Name | Mistafa Hafid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760985121 PECOS PAC ID: 8921359365 Enrollment ID: I20230314000575 |
| Provider Name | Jody Marie Anderson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669091310 PECOS PAC ID: 3375974769 Enrollment ID: I20230403001290 |
| Provider Name | Aubrey Lynn Holcomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477251577 PECOS PAC ID: 2163887340 Enrollment ID: I20230421000757 |
| Provider Name | Neal E. Bucher |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538789466 PECOS PAC ID: 5991126542 Enrollment ID: I20230623001021 |
| Provider Name | Maria Tillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1992967673 PECOS PAC ID: 2961687827 Enrollment ID: I20230821001487 |
| Provider Name | Eberechi C Ekechukwu |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710418074 PECOS PAC ID: 9335489061 Enrollment ID: I20230901000881 |
| Provider Name | Tameka N Todd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164089405 PECOS PAC ID: 8325370927 Enrollment ID: I20230926003779 |
| Provider Name | Aimee M. Nefcy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063642320 PECOS PAC ID: 5092962043 Enrollment ID: I20230929002575 |
| Provider Name | Lindsay Boik Price |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144519141 PECOS PAC ID: 5395040570 Enrollment ID: I20231002000157 |
| Provider Name | Doan Vo-bao Nguyen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1063040889 PECOS PAC ID: 0840653556 Enrollment ID: I20240102003309 |
| Provider Name | Nathaniel Pavkov |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1245526508 PECOS PAC ID: 8224322938 Enrollment ID: I20240112003840 |
| Provider Name | Martin P. Kasofsky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598783722 PECOS PAC ID: 4183665284 Enrollment ID: I20240129002767 |
| Provider Name | Stephan O. Bamberger |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003881319 PECOS PAC ID: 3577523471 Enrollment ID: I20240419000509 |
| Provider Name | Diab M. Diab |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407238363 PECOS PAC ID: 7911208020 Enrollment ID: I20240523002638 |
The People Institute, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5900 Sawmill Rd, Suite 210, Dublin, OH 43017 Phone: 614-717-9652 Fax: 614-717-9657 | |
Nelsen Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6047 Frantz Rd Ste 205, Dublin, OH 43017 Phone: 614-401-6203 | |
Stephanie E Wilson Lisw-s Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 S High St Ste E, Dublin, OH 43017 Phone: 614-579-9657 | |
Done Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Metro Pl S Ste 100, Dublin, OH 43017 Phone: 888-291-5143 | |
Ketamine Health & Wellness Clinics Of Ohio Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5060 Bradenton Ave Ste A, Dublin, OH 43017 Phone: 380-214-1636 Fax: 380-235-7469 | |
Empath Medicine Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5019 Noor Park Cir, Dublin, OH 43016 Phone: 614-446-0500 | |
Emerald Psychiatry & Tms Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4995 Bradenton Ave Ste 130, Dublin, OH 43017 Phone: 614-580-6917 |