| Osu Health System-hospital At Home | |
|
410 W 10th Ave Columbus OH 43210 | |
| (614) 685-2705 | |
| (614) 685-5789 |
| Full Name | Osu Health System-hospital At Home |
|---|---|
| Speciality | Family Medicine |
| Location | 410 W 10th Ave, Columbus, Ohio |
| Authorized Official Name and Position | Jami Honsley (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Contact | 6142932229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osu Health System-hospital At Home 700 Ackerman Road Suite 2120 Columbus OH 43202-1559 Ph: (614) 685-4601 | Osu Health System-hospital At Home 410 W 10th Ave Columbus OH 43210 Ph: (614) 685-2705 |
| NPI Number | 1528025657 |
|---|---|
| Provider Enumeration Date | 05/01/2006 |
| Last Update Date | 07/14/2023 |
| Medicare PECOS PAC ID | 9133153299 |
|---|---|
| Medicare Enrollment ID | O20230519001500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528025657 | NPI | - | NPPES |
| 2613167 | Medicaid | OH | |
| H948780 | Other | OH | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208M00000X | Hospitalist | (* (Not Available)) | Secondary |
| Provider Name | William Floyd Galilei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316507619 PECOS PAC ID: 3577899749 Enrollment ID: I20190725001479 |
| Provider Name | Fatmata Hartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942960430 PECOS PAC ID: 5890172399 Enrollment ID: I20220523002601 |
| Provider Name | Megan Faga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033543350 PECOS PAC ID: 5597990622 Enrollment ID: I20221014002090 |
| Provider Name | Noah Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346503620 PECOS PAC ID: 6608099205 Enrollment ID: I20230201000574 |
| Provider Name | Akhil Vats |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518199363 PECOS PAC ID: 0749436004 Enrollment ID: I20230203000964 |
| Provider Name | Kristen Janice Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841890969 PECOS PAC ID: 8022424613 Enrollment ID: I20230809000516 |
| Provider Name | Manuel Jose Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023384336 PECOS PAC ID: 7719271741 Enrollment ID: I20240422001405 |
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