Primesource Healthcare of Ohio, Inc.

Primary specialty

PodiatristTaxonomy code 213E00000X

Legal business name

PRIMESOURCE HEALTHCARE OF OHIO, INC.

Practice address

4449 Easton Way
Floor 2
Columbus, OH 43219-6093

Phone

(800) 317-0711

Fax

(847) 267-9440

NPI assigned

Feb 26, 2007

Last updated

Oct 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. David Fleming

Title

President & Ceo

Phone

(847) 267-8200

Specialties & licenses 4

Addresses

Other identifiers 5

Locations (25 of 26)

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nakina Nichole Asher, COLTA/L

  • Occupational Therapy Assistant
  • Greenville, OH
  • NPI 1235466913
  NPD (past)
• Bethany Haas, COTA

  • Occupational Therapy Assistant
  • Greenville, OH
  • NPI 1922300359
  NPD (past)
• Krista Meyer

  • Occupational Therapy Assistant
  • Greenville, OH
  • NPI 1174804991
  NPD (past)
• Cara Elaine Graham, AU.D

  • Audiologist
  • Deerfield, IL
  • NPI 1326027608
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1033245824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 EAST LAKE COOK ROAD",
            "address_2": "SUITE 1100",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891815",
            "telephone_number": "847-267-8200",
            "fax_number": "877-821-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY",
            "address_2": "FLOOR 2",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196093",
            "telephone_number": "800-317-0711",
            "fax_number": "847-267-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMESOURCE HEALTHCARE OF OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "847-267-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2758350",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2733019",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000541771",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2719062",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2734554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Primepath Services
• Daisha Primes
• Jaquana Primes
• Primesource Healthcare of Ohio Inc
• Primesource Healthcare of Ohio, Inc
• Primesource Healthcare of Ohio, Inc.
• Primesource Healthcare Systems, Inc.
• Douglas James Primm, LMT/PTA
• Prina Health Care LLC
• Abigail Theresa Prince I

• Podiatrist in Columbus, OH
• Providers in Columbus, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; 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.