Individual provider Active NPI

Amanda Marie Webber, PA-C

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1073888749
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
003347 Issued in OH
Practice address
2222 Welcome PL
Columbus, OH 43209-7813
Phone
(614) 533-6800
Fax
(614) 338-8735
NPI assigned
Mar 14, 2012
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 003347 OH Primary

Addresses

Primary practice location

2222 Welcome PL
Columbus, OH 43209-7813

Mailing address

5400 Frantz Rd
Suite 250
Dublin, OH 43016-4144

Other names 1

  • Amanda Marie Gula Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160108001334 OH Practitioner - Physician Assistant 1456653310 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003347OHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Urgent Care Inc CurrentSince Jan 4, 2017 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 14, 2015 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 14, 2015 Accepting new patients
Arlington Urgent Care Inc CurrentSince Jan 4, 2017 Accepting new patients

Locations

2222 Welcome Pl
Columbus, OH 43209
Phone (614) 338-8833

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

5400 Frantz Rd
Ste 250
Dublin, OH 43016
Phone (614) 544-6161

3062 Kingsdale Ctr
Upper Arlngtn, OH 43221
Phone (614) 484-1940

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1073888749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 FRANTZ RD",
            "address_2": "SUITE 250",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430164144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 WELCOME PL",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432097813",
            "telephone_number": "614-533-6800",
            "fax_number": "614-338-8735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-14",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "003347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GULA",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.