Organization Active NPI

Omega Executive Healthcare

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1033240312
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35044451 Issued in OH
Legal business name
OMEGA EXECUTIVE HEALTHCARE
Practice address
3650 Olentangy River Rd
Ste 302
Columbus, OH 43214-3464
Phone
(614) 884-0190
Fax
(614) 884-0192
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Dr. Ronald Miller, MD
Title
Owner
Phone
(614) 884-0190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35044451 OH Primary

Addresses

Primary practice location

3650 Olentangy River Rd
Ste 302
Columbus, OH 43214-3464

Mailing address

3650 Olentangy River Rd
Ste 302
Columbus, OH 43214-3464
Phone (614) 884-0190

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1033240312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 OLENTANGY RIVER RD",
            "address_2": "STE 302",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143464",
            "telephone_number": "614-884-0190",
            "fax_number": "614-884-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 OLENTANGY RIVER RD",
            "address_2": "STE 302",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143464",
            "telephone_number": "614-884-0190",
            "fax_number": "614-884-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMEGA EXECUTIVE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-884-0190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35044451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.