| City Of Columbus | |
|
240 Parsons Ave Columbus OH 43215-5331 | |
| (614) 645-6447 | |
| Not Available |
| Full Name | City Of Columbus |
|---|---|
| Speciality | Clinic/Center |
| Location | 240 Parsons Ave, Columbus, Ohio |
| Authorized Official Name and Position | Teresa C. Long (HEALTH COMMISSIONER) |
| Authorized Official Contact | 6146457417 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Columbus 240 Parsons Ave Columbus OH 43215-5331 Ph: (614) 645-6447 | City Of Columbus 240 Parsons Ave Columbus OH 43215-5331 Ph: (614) 645-6447 |
| NPI Number | 1285874339 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 05/25/2017 |
| Medicare PECOS PAC ID | 0446164156 |
|---|---|
| Medicare Enrollment ID | O20040109001010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285874339 | NPI | - | NPPES |
| 0266555 | Medicaid | OH | |
| 0266555 | Other | OH | MOLINA |
| XXXXXXXXX035 | Other | OH | CARESOURCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
| Provider Name | Deborah L Taylor |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003912627 PECOS PAC ID: 7416917158 Enrollment ID: I20041015000962 |
| Provider Name | Johanna C Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740208974 PECOS PAC ID: 9335144054 Enrollment ID: I20061002000040 |
| Provider Name | Mysheika W Roberts |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811080096 PECOS PAC ID: 3375583743 Enrollment ID: I20061019000562 |
| Provider Name | Min Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992947303 PECOS PAC ID: 9739238551 Enrollment ID: I20090527000116 |
| Provider Name | Moon Chong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992939425 PECOS PAC ID: 0042360059 Enrollment ID: I20090613000009 |
| Provider Name | Jose A Bazan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1326168832 PECOS PAC ID: 5496808610 Enrollment ID: I20090805000093 |
| Provider Name | Niki J Kritikos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376876144 PECOS PAC ID: 9739226093 Enrollment ID: I20091020000299 |
| Provider Name | Tia L Helm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104177682 PECOS PAC ID: 0941450753 Enrollment ID: I20121031000618 |
| Provider Name | Danielle R Wadkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245651165 PECOS PAC ID: 4587897848 Enrollment ID: I20140512002123 |
| Provider Name | Dagogo Opusunju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720242811 PECOS PAC ID: 0941385124 Enrollment ID: I20141223001869 |
| Provider Name | George Tazi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245637156 PECOS PAC ID: 2961729801 Enrollment ID: I20150402000998 |
| Provider Name | Kelley M Becker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720431224 PECOS PAC ID: 7113203209 Enrollment ID: I20170403002089 |
| Provider Name | Rebekah Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528225604 PECOS PAC ID: 3274807888 Enrollment ID: I20170920003408 |
| Provider Name | Alexandra M Haffner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588193171 PECOS PAC ID: 7911273198 Enrollment ID: I20171017001524 |
| Provider Name | Debbie Helldoerfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225166929 PECOS PAC ID: 4688916331 Enrollment ID: I20190429000931 |
| Provider Name | Gregory W Lanham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851836738 PECOS PAC ID: 6406198159 Enrollment ID: I20190429000940 |
| Provider Name | Cynthia L Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407309966 PECOS PAC ID: 5799012274 Enrollment ID: I20190806002875 |
| Provider Name | Allyson D Eads |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356898332 PECOS PAC ID: 4183050495 Enrollment ID: I20200205001366 |
| Provider Name | Emily Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043982523 PECOS PAC ID: 8921499740 Enrollment ID: I20220105000005 |
| Provider Name | Kayla Paige Tomak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831752310 PECOS PAC ID: 5698160547 Enrollment ID: I20220311001700 |
| Provider Name | Emily Rae Jesson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679026918 PECOS PAC ID: 7719373273 Enrollment ID: I20220408001773 |
| Provider Name | Catrice L Needum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629624242 PECOS PAC ID: 1052791407 Enrollment ID: I20220701002337 |
| Provider Name | Jamie Watson Hensley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316412281 PECOS PAC ID: 0042600454 Enrollment ID: I20230131002869 |
| Provider Name | Daniel Lutz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073041703 PECOS PAC ID: 6103298211 Enrollment ID: I20230217000609 |
| Provider Name | Kaitlyn N Fannin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437842804 PECOS PAC ID: 1254794985 Enrollment ID: I20230829002763 |
| Provider Name | Mikayla Lonergan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548974298 PECOS PAC ID: 0840637021 Enrollment ID: I20240322003801 |
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