NPIMap

Organization Active NPI

McKibben Enterprises, LLC

  • Family Medicine Physician
  • Westerville, OH
National Provider Identifier
1013689132
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MCKIBBEN ENTERPRISES, LLC
Practice address
193 W Schrock Rd
Westerville, OH 43081-2890
Phone
(614) 420-1012
NPI assigned
Sep 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Sean Hugh McKibben
Title
President & Owner
Phone
(614) 420-1012

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

193 W Schrock Rd
Westerville, OH 43081-2890

Mailing address

193 W Schrock Rd
Westerville, OH 43081-2890
Phone (614) 942-6986

Other names 2

  • Anodyne Pain & Wellness Solutions of Central Ohio Doing business as
  • Impact Health & Wellness of Ohio Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220110000433 OH Part B Supplier - Clinic/Group Practice 5698167310 Receives reassigned benefits from 10 practitioners
Practice locations: Westerville, OH
O20230120000354 OH DME Supplier - Multi-Specialty - PhysicianDME Supplier - Physician - Family Practice 5698167310 Practice locations: Westerville, OH

National Provider Directory

National Provider Directory

Locations

193 W Schrock Rd
Westerville, OH 43081
Phone (614) 325-5355

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1013689132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812890",
            "telephone_number": "614-942-6986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 W SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812890",
            "telephone_number": "614-420-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKIBBEN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-28",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "MCKIBBEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "HUGH",
        "authorized_official_title_or_position": "PRESIDENT & OWNER",
        "authorized_official_telephone_number": "614-420-1012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anodyne Pain & Wellness Solutions of Central Ohio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Impact Health & Wellness of Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.