NPIMap

Organization Active NPI

Oh Independent Medical Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, OH
National Provider Identifier
1063264299
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OH INDEPENDENT MEDICAL GROUP LLC
Practice address
3131 W Broad St
Columbus, OH 43204-1306
Phone
(614) 272-8854
Fax
(614) 272-9200
NPI assigned
Apr 2, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
James Obrien
Title
VP Operations, Population Health
Phone
(614) 544-4458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3131 W Broad St
Columbus, OH 43204-1306

Mailing address

3430 Ohio Health Pkwy
Columbus, OH 43202-1575
Phone (614) 566-0152

National Provider Directory

National Provider Directory
Tax ID family
Oh Independent Medical Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1063264299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 OHIO HEALTH PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021575",
            "telephone_number": "614-566-0152",
            "fax_number": "614-566-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432041306",
            "telephone_number": "614-272-8854",
            "fax_number": "614-272-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH INDEPENDENT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "VP OPERATIONS, POPULATION HEALTH",
        "authorized_official_telephone_number": "614-544-4458"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Sep 12, 2024; 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.