Organization Active NPI

Ats, Columbus, LLC Dba, Addiction Therapy Services

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1124535828
Registry record updated Jan 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
ATS, COLUMBUS, LLC DBA, ADDICTION THERAPY SERVICES
Practice address
4760 Sawmill Rd
Columbus, OH 43235-3260
Phone
(614) 594-9774
NPI assigned
Jan 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2018

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

Authorized official

Name
Marcus Joseph Pesa, MD
Title
Owner
Phone
(614) 594-9774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X OH Primary

Addresses

Primary practice location

4760 Sawmill Rd
Columbus, OH 43235-3260

Mailing address

4760 Sawmill Rd
Columbus, OH 43235-3260

Other identifiers 1

IdentifierTypeStateIssuer
2001621MedicaidOH

National Provider Directory

National Provider Directory

Locations

4760 Sawmill Rd
Columbus, OH 43235
Phone (614) 594-9774

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1124535828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432353260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 SAWMILL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432353260",
            "telephone_number": "614-594-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATS, COLUMBUS, LLC DBA, ADDICTION THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "PESA",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-594-9774",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001621",
            "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 Jan 3, 2018; 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.