Mylaurel Medical Group Oh, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MYLAUREL MEDICAL GROUP OH, LLC

Practice address

1201 Dublin Rd
Columbus, OH 43215-1045

Phone

(886) 619-7803

NPI assigned

Sep 25, 2024

Organization subpart

No

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

Authorized official

Name

Branko Kolvek

Title

Chief Operating Officer

Phone

(347) 497-2452

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie Babcock, NP-C

  • Adult Health Nurse Practitioner
  • Bowling Green, OH
  • NPI 1508121708
  NPD
• Clay Conrad Watson, M.D.

  • Infectious Disease Physician
  • Aurora, CO
  • NPI 1104072636
  NPD

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1104643634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "885 3RD AVE FL 29",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100224834",
            "telephone_number": "866-619-7803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151045",
            "telephone_number": "886-619-7803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYLAUREL MEDICAL GROUP OH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A",
        "authorized_official_last_name": "KOLVEK",
        "authorized_official_first_name": "BRANKO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "347-497-2452"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie M. Myers, CNP
• Valencia Myers
• William Eric Myers
• Myeyedr Optometry of Ohio, LLC
• Myhealth Works LLC
• Ian Antheni Myles, M.D.
• Jocarolyn Y Myles
• Morgan Myles
• Teresa Myles
• Tina Myles

• General Practice Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.