Healthserve Primary Care, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEALTHSERVE PRIMARY CARE, LLC

Practice address

445 Rocky Fork Blvd
Gahanna, OH 43230-3336

Phone

(614) 442-2431

Fax

(614) 442-2426

NPI assigned

Jul 17, 2014

Last updated

Jul 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael C Bourland

Title

President

Phone

(614) 442-2431

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405555200000",
    "number": "1134536584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 KENNY RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212406",
            "telephone_number": "614-274-5035",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 ROCKY FORK BLVD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303336",
            "telephone_number": "614-442-2431",
            "fax_number": "614-442-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHSERVE PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-442-2431"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Journey Pharmacy LLC
• Health Journey Pharmacy LLC
• Healthpro Inc. (HealthPro Homecare)
• Healthserve Medical Group LLC (ExpressMed)
• Healthserve Medical Group LLC
• Heartland Dental Care of Ohio, Richard E Workman, DMD PS (Affordable Dentistry Today - Gahanna)
• Melinda Lee Heater, AU.D.
• Heidi a. Bunch D.D.S. (Dentistry)
• Daniel J Heinmiller, MD
• Katelyn Rose Helldoerfer

• Family Medicine Physician in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.