Active NPI
Phoenix Health LLC
- Primary Care Clinic/Center
- Columbus, OH
National Provider Identifier
1083358253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PHOENIX HEALTH LLC
- Practice address
- 360 S Grant Ave
Columbus, OH 43215-5537 - Phone
- (614) 551-4364
- Fax
- (614) 413-3536
- NPI assigned
- Apr 25, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Burt Dhira
- Title
- Ceo
- Phone
- (614) 389-3030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
360 S Grant Ave
Columbus, OH 43215-5537
Mailing address
1414 Oakland Park Ave
Columbus, OH 43224-3507
Phone (614) 389-3030
Other practice location 1
1414 Oakland Park Ave
Columbus, OH 43224-3507
Phone (614) 389-3030
Other practice location 2
1955 Ohio Dr
Grove City, OH 43123-4835
Phone (614) 991-0658
National Provider Directory
National Provider Directory- Tax ID family
- Phoenix Health LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Addiction Medicine (Family Medicine) Physician
- Columbus, OH
- NPI 1801530050
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1952045114
Locations
1955 Ohio Dr
Grove City, OH 43123
Phone (614) 991-0658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1083358253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1414 OAKLAND PARK AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432243507",
"telephone_number": "614-389-3030",
"fax_number": "614-413-3536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 S GRANT AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432155537",
"telephone_number": "614-551-4364",
"fax_number": "614-413-3536"
}
],
"practiceLocations": [
{
"address_1": "1414 Oakland Park Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432243507",
"country_code": "US",
"telephone_number": "614-389-3030",
"fax_number": "614-413-3536",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1955 Ohio Dr",
"address_purpose": "LOCATION",
"city": "Grove City",
"state": "OH",
"postal_code": "431234835",
"country_code": "US",
"telephone_number": "614-991-0658",
"fax_number": "614-413-3536",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PHOENIX HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-25",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "DHIRA",
"authorized_official_first_name": "BURT",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "614-389-3030"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"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 Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.