Active NPI
Family Practice West Inc
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1104038595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 34008162
- Legal business name
- FAMILY PRACTICE WEST INC
- Practice address
- 5212 W Broad St
Columbus, OH 43228-1642 - Phone
- (614) 878-7285
- Fax
- (614) 878-1724
- NPI assigned
- May 5, 2007
- 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
- Jimilea Gutheil
- Title
- Office Manager
- Phone
- (614) 878-7285
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34008162 | OH | Primary |
Addresses
Primary practice location
5212 W Broad St
Columbus, OH 43228-1642
Mailing address
5212 W Broad St
Columbus, OH 43228-1642
Phone (614) 878-7285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2649076 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
5212 W Broad St
Ste B
Columbus, OH 43228
Phone (614) 769-3342
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Grove City, OH
- NPI 1922658780
-
- Family Nurse Practitioner
- Columbus, OH
- NPI 1093964710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204070400000",
"number": "1104038595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5212 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281642",
"telephone_number": "614-878-7285",
"fax_number": "614-878-1724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5212 W BROAD ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281642",
"telephone_number": "614-878-7285",
"fax_number": "614-878-1724"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE WEST INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-05",
"last_updated": "2008-02-27",
"status": "A",
"authorized_official_last_name": "GUTHEIL",
"authorized_official_first_name": "JIMILEA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "614-878-7285"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "OH",
"license": "34008162",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2649076",
"state": "OH"
}
],
"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 Feb 27, 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.