Dedicated Columbus Ohio, LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

DEDICATED COLUMBUS OHIO, LLC

Practice address

5156 E Main St
Columbus, OH 43213-2424

Phone

(614) 702-7655

Fax

(305) 393-5989

NPI assigned

Mar 28, 2019

Organization subpart

Yes

Parent organization

DEDICATED COLUMBUS OHIO, LLCAs reported in NPPES

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

Authorized official

Name

Mary Chen

Title

Authorized Official

Phone

(305) 831-4722

Specialties & licenses 1

Addresses

Other names 1

• Dedicated Senior Medical Center Whitehall Doing business as

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

CLIA laboratory certificates

Tax ID family

Dedicated Columbus Ohio LLC4 organizations share this tax ID, including this one

Part of

Dedicated Columbus Ohio LLC

Other organizations with this tax ID 3

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

• Dedicated Columbus Ohio, LLC

  • Non-Pharmacy Dispensing Site
  • Columbus, OH
  • NPI 1245791581
  NPD tax ID
• Dedicated Columbus Ohio, LLC

  • Non-Pharmacy Dispensing Site
  • Columbus, OH
  • NPI 1932660438
  NPD tax ID
• Dedicated Columbus Ohio, LLC

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1538798483
  NPD tax ID

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1154882496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5156 E MAIN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132424",
            "telephone_number": "614-702-7655",
            "fax_number": "305-393-5989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED COLUMBUS OHIO, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEDICATED COLUMBUS OHIO, LLC",
        "enumeration_date": "2019-03-28",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-831-4722"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dedicated Senior Medical Center Whitehall",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karissa Ann Deckert
• Derek Alexander Decola
• Emily Jannette Decrane, NP
• Nikita Dedhia, M.D.
• Priya Harakh Dedhia, M.D.
• Dedicated Columbus Ohio, LLC
• Dedicated Columbus Ohio, LLC
• Adam Dedrick
• Tanya A Dedyo, MD
• Bridget Deeds

• Non-Pharmacy Dispensing Site in Columbus, OH
• Providers in Columbus, OH by specialty
• Non-Pharmacy Dispensing Site in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.