Absolutecare of Ohio, LLC
Organization Active NPI Multi-Specialty Clinic/Center · Columbus, OH
NPI 1003544495 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1003544495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- ABSOLUTECARE OF OHIO, LLC
- Practice address
- 4715 Hilton Corporate Drive
Columbus, OH 43232 - Phone
- (404) 231-4431
- NPI assigned
- Aug 12, 2022
- Organization subpart
- No
Authorized official
- Name
- Dr. Gregory P Foti, M.D.
- Title
- Vice President and Secretary
- Phone
- (443) 738-0225
Other NPIs on the same Medicare enrollment 1
Corporate family (same tax ID) 8
Practitioners 24
-
Natajlia Benn, FNP
-
Janet Linn Black, LPCC-S
-
Edeisha E Brooks, APRN
-
Jocelyn R Butler, APRN, ANP-C
-
Kara D Callahan, MD
-
Blessing Igboeli, MD
-
Amy Jo Isco, CNP
-
Salimata Sarr Kaba, FNP-BC
-
Leslee Renee McElrath, M.D.
-
Margaret A Musso, MD
-
Lachille Rashid, APRN
-
Dawn Marie Rist-Opal, LPCC-S, LICDS-CS
-
Kristen Stirling, LPCC-S
-
Antoinette M Thacker, LISW-S
-
Terri Lynn Vaccarelli, PA-C
-
Addie Winzen, CRNP
-
Susan L Padrino, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240621003593 | OH | Part B Supplier - Clinic/Group Practice | 8123561891 |
Receives reassigned benefits from 16 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, OH; Akron, OH; Brooklyn, OH |
National Provider Directory
- Tax ID family
- Absolutecare of Ohio LLC
Locations
4715 Hilton Corporate Dr
Columbus, OH 43232
Phone (614) 647-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
4715 Hilton Corporate Drive
Columbus, OH 43232
Mailing address
10175 Little Patuxent Pkwy Ste 800
Columbia, MD 21044-3401
Phone (667) 400-0483
NPI Registry JSON
{
"created_epoch": "1660262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1003544495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10175 LITTLE PATUXENT PKWY STE 800",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443401",
"telephone_number": "667-400-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4715 HILTON CORPORATE DRIVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43232",
"telephone_number": "404-231-4431"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ABSOLUTECARE OF OHIO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-12",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "FOTI",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
"authorized_official_telephone_number": "443-738-0225",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.