Oh Independent Medical Group Llc | |
3430 Ohio Health Pkwy Columbus OH 43202-1575 | |
(614) 566-0152 | |
Not Available |
Full Name | Oh Independent Medical Group Llc |
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Speciality | Family Medicine |
Location | 3430 Ohio Health Pkwy, Columbus, Ohio |
Authorized Official Name and Position | James O'brien (VP OPERATIONS, POPULATION HEALTH) |
Authorized Official Contact | 6145444458 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Oh Independent Medical Group Llc 3430 Ohiohealth Parkway Columbus OH 43202 Ph: (614) 566-0152 | Oh Independent Medical Group Llc 3430 Ohio Health Pkwy Columbus OH 43202-1575 Ph: (614) 566-0152 |
NPI Number | 1497482111 |
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Provider Enumeration Date | 08/03/2022 |
Last Update Date | 08/15/2023 |
Medicare PECOS PAC ID | 0648646034 |
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Medicare Enrollment ID | O20221027000414 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497482111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michelle Yaw |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1093886947 PECOS PAC ID: 2567403223 Enrollment ID: I20050512000938 |
Provider Name | Susan M Davy |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1598704215 PECOS PAC ID: 4284679135 Enrollment ID: I20050622000447 |
Provider Name | Pallavy Reddy |
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Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1740277664 PECOS PAC ID: 9133019342 Enrollment ID: I20050713001239 |
Provider Name | Katherine Colleen Elliot |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073581674 PECOS PAC ID: 1850315177 Enrollment ID: I20060125000343 |
Provider Name | Angela Rouse-scharschmidt |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1659577864 PECOS PAC ID: 3274634852 Enrollment ID: I20070726000392 |
Provider Name | Donnalyn Moeller |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1568456630 PECOS PAC ID: 9436246576 Enrollment ID: I20071106000416 |
Provider Name | Amol Arora |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1538365846 PECOS PAC ID: 5193800084 Enrollment ID: I20080318000174 |
Provider Name | Alan J Murnane |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1518945559 PECOS PAC ID: 3274447271 Enrollment ID: I20090421000553 |
Provider Name | Sara Ann Yoder |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184659922 PECOS PAC ID: 9133269905 Enrollment ID: I20091229000697 |
Provider Name | Raymond Gardner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932107489 PECOS PAC ID: 1052448941 Enrollment ID: I20100426000144 |
Provider Name | Beth G Lafont |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1073758421 PECOS PAC ID: 1951426980 Enrollment ID: I20100915000140 |
Provider Name | Dana Eileen Lenhart Tavaniello |
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Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1336349976 PECOS PAC ID: 0749479467 Enrollment ID: I20110112000346 |
Provider Name | Andrew Bokor |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1477523454 PECOS PAC ID: 2466580121 Enrollment ID: I20110209000379 |
Provider Name | Michelle M Birkenholz |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1083889216 PECOS PAC ID: 4981868726 Enrollment ID: I20120607000468 |
Provider Name | Patrick S Rheaume |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1306009170 PECOS PAC ID: 1456516954 Enrollment ID: I20120709000305 |
Provider Name | Vanessa L Stallkamp |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1871596718 PECOS PAC ID: 1355525825 Enrollment ID: I20121110000025 |
Provider Name | Tammy L Herrick |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1760635759 PECOS PAC ID: 2365694908 Enrollment ID: I20121206000348 |
Provider Name | Sarah E Kreider |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1942431911 PECOS PAC ID: 9638313406 Enrollment ID: I20130917000388 |
Provider Name | Brock A Liden |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1598762692 PECOS PAC ID: 6406741511 Enrollment ID: I20140124000720 |
Provider Name | Alicia W Thompson |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1508998725 PECOS PAC ID: 7618109802 Enrollment ID: I20140423000572 |
Provider Name | Jessie Anderson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831475987 PECOS PAC ID: 6507013067 Enrollment ID: I20140516000506 |
Provider Name | Alexis C Shelley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164850129 PECOS PAC ID: 0446474282 Enrollment ID: I20140617001102 |
Provider Name | Meredith A Warnecke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639578404 PECOS PAC ID: 6901123272 Enrollment ID: I20150325001396 |
Provider Name | Seretha Maria Ransom |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1699060764 PECOS PAC ID: 7517115181 Enrollment ID: I20151214001235 |
Provider Name | Tara Freter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205023777 PECOS PAC ID: 8426347584 Enrollment ID: I20160513000543 |
Provider Name | Kelley M Becker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720431224 PECOS PAC ID: 7113203209 Enrollment ID: I20170403002089 |
Provider Name | Britta L Buchenroth |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1962744045 PECOS PAC ID: 4587808191 Enrollment ID: I20170703001662 |
Provider Name | Rachel Fisher |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285163071 PECOS PAC ID: 4880964493 Enrollment ID: I20170713003675 |
Provider Name | Allison M Murphy |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1962744060 PECOS PAC ID: 0244470284 Enrollment ID: I20170811002577 |
Provider Name | Allison Marie Douglas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902319122 PECOS PAC ID: 4789942954 Enrollment ID: I20171215001252 |
Provider Name | Stephanie L Rogers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437532504 PECOS PAC ID: 0345542676 Enrollment ID: I20180219001496 |
Provider Name | Carey L Barber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487152427 PECOS PAC ID: 1850653460 Enrollment ID: I20180320000296 |
Provider Name | Stephanie Ellen Rajchel |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821380783 PECOS PAC ID: 7012223795 Enrollment ID: I20181128002910 |
Provider Name | Catherine A Taliani |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992192322 PECOS PAC ID: 8729397906 Enrollment ID: I20200108002733 |
Provider Name | Courtney L Fike |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356974000 PECOS PAC ID: 2466882873 Enrollment ID: I20200428000117 |
Provider Name | Katherine Jean Bellomy |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1689040578 PECOS PAC ID: 2163720244 Enrollment ID: I20200610002259 |
Provider Name | Amy K Mock |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447803267 PECOS PAC ID: 6103244850 Enrollment ID: I20200914000970 |
Provider Name | Stephanie J Glass |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457668527 PECOS PAC ID: 4385056829 Enrollment ID: I20201207002901 |
Provider Name | Nicole Basinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770177958 PECOS PAC ID: 8527460666 Enrollment ID: I20210712001849 |
Provider Name | Darcy L Langhals |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1356875017 PECOS PAC ID: 0547535494 Enrollment ID: I20210715000847 |
Provider Name | Melissa Mcguire |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881369460 PECOS PAC ID: 5395143408 Enrollment ID: I20211004002560 |
Provider Name | Francesca Dominique Lamoreux |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1255941159 PECOS PAC ID: 4981080041 Enrollment ID: I20220928000433 |
Provider Name | Michelle Renee Tiberio |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1285336578 PECOS PAC ID: 1153787114 Enrollment ID: I20230517000292 |
Provider Name | Mianna Marie Armstrong Gilmore |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1417416520 PECOS PAC ID: 3870836315 Enrollment ID: I20230724001875 |
Provider Name | Megan Nicole Gouhin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962159525 PECOS PAC ID: 4981056728 Enrollment ID: I20240117004231 |
Provider Name | Carl W Mccord |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1104836022 PECOS PAC ID: 1254420995 Enrollment ID: I20240612002245 |
Provider Name | Madeline Binder |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1689420044 PECOS PAC ID: 5890238968 Enrollment ID: I20240617003492 |
Provider Name | Fernando Porter |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1669785770 PECOS PAC ID: 0941435986 Enrollment ID: I20240624000678 |
Provider Name | Gautam Khandelwal |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1962445569 PECOS PAC ID: 1153394234 Enrollment ID: I20240715000271 |
Provider Name | Christina Diane Cherry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073379301 PECOS PAC ID: 6204371222 Enrollment ID: I20240715002883 |
Provider Name | Melanie Lieblang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508392952 PECOS PAC ID: 2365714995 Enrollment ID: I20240729003188 |
Provider Name | Taylor Lauren Gray Cater |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1134689417 PECOS PAC ID: 0143600882 Enrollment ID: I20240822001798 |
Provider Name | Shishir Kumar Khetan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861497372 PECOS PAC ID: 9335199017 Enrollment ID: I20240903004196 |
Provider Name | Michael Jack Leymaster |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1164426995 PECOS PAC ID: 0244761591 Enrollment ID: I20240927001264 |
Provider Name | Amanda C Jett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225522634 PECOS PAC ID: 9133650005 Enrollment ID: I20241002002319 |
Provider Name | Heather Rowlands |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366081978 PECOS PAC ID: 3274963657 Enrollment ID: I20241008003211 |
Provider Name | Qumara Hill-smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871906024 PECOS PAC ID: 5597987594 Enrollment ID: I20241024001074 |
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