NPIMap

Organization Active NPI

Oh Independent Medical Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Circleville, OH
National Provider Identifier
1114753431
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OH INDEPENDENT MEDICAL GROUP LLC
Practice address
210 Sharon Rd Ste a
Circleville, OH 43113-1498
Phone
(740) 474-3850
Fax
(888) 921-9123
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Lisa M Swisher
Title
Advisor, Credentialing
Phone
(614) 566-0152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

210 Sharon Rd Ste a
Circleville, OH 43113-1498

Mailing address

3430 Ohio Health Pkwy
Columbus, OH 43202-1575
Phone (614) 566-0152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241025000651 OH DME Supplier - Physician - PodiatryDME Supplier - Orthotic PersonnelDME Supplier - Prosthetic PersonnelDME Supplier - Pedorthic Personnel 0648646034 Practice locations: Circleville, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Oh Independent Medical Group LLC210 Sharon Rd, Circleville, OH 43113-1498(740) 474-3850 Orthoses: Custom Fabricated|Orthoses: Off-The-Shelf|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Aug 15, 2022

National Provider Directory

National Provider Directory
Tax ID family
Oh Independent Medical Group LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

210 Sharon Rd
Ste A
Circleville, OH 43113
Phone (740) 474-3850

7281 Sawmill Rd
Dublin, OH 43016
Phone (614) 566-0152

7450 Hospital Dr
Ste 150
Dublin, OH 43016

2000 Newark Granville Rd
Ste 201
Granville, OH 43023
Phone (614) 890-1914

1005 Bellefontaine Ave
Ste 175
Lima, OH 45804
Phone (419) 227-2727

830 W High St
Ste 304
Lima, OH 45801
Phone (419) 227-0610

904 Eastwind Dr
Westerville, OH 43081
Phone (614) 890-1914

Practitioners & affiliated clinicians

Practitioners 120

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1114753431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 OHIO HEALTH PKWY",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021575",
            "telephone_number": "614-566-0152",
            "fax_number": "614-566-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 SHARON RD STE A",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131498",
            "telephone_number": "740-474-3850",
            "fax_number": "888-921-9123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH INDEPENDENT MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "SWISHER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADVISOR, CREDENTIALING",
        "authorized_official_telephone_number": "614-566-0152"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.