Columbus Clinical Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

25903090 Issued in OH

Legal business name

COLUMBUS CLINICAL SERVICES LLC

Practice address

620 Taylor Station Rd Ste J
Gahanna, OH 43230-6699

Phone

(614) 626-0364

Fax

(614) 626-0327

NPI assigned

Apr 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Travis Young

Title

Chief Executive Officer

Phone

(614) 626-0364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1303344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1114218344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 TAYLOR STATION RD STE J",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306699",
            "telephone_number": "614-626-0364",
            "fax_number": "614-626-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TAYLOR STATION RD STE J",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306699",
            "telephone_number": "614-626-0364",
            "fax_number": "614-626-0327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS CLINICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-21",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-626-0364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "25903090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey D Collins
• Fernando I Colon, MD
• Matthew Colonna, PA
• Columbus Cardiovascular Associates, Inc.
• Columbus Chronic Care Medical Center LLC
• Columbus East Internal Medicine
• Columbus Eyelid Plastic Surgery, LLC
• Columbus Integrative Family Medicine Center LLC
• Columbus Metropolitan OB. GYN, Inc
• Columbus Pharmacy, Inc

• Durable Medical Equipment & Medical Supplies in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; 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.