Ohio Health Sleep Diagnostic Center

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

OHIO HEALTH SLEEP DIAGNOSTIC CENTER

Practice address

99 N Brice Rd
Columbus, OH 43213

Phone

(614) 866-8200

Fax

(614) 235-5194

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Gautam Samadder, MD

Title

President

Phone

(614) 866-8200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• EASTSIDE SLEEP DIAGNOSTIC CENTER Doing business as

Locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1164448783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634335",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452630041",
            "telephone_number": "614-235-2326",
            "fax_number": "614-235-5194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 N BRICE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-866-8200",
            "fax_number": "614-235-5194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO HEALTH SLEEP DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "SAMADDER",
        "authorized_official_first_name": "GAUTAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-866-8200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2563220",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTSIDE SLEEP DIAGNOSTIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ohio Health Center Inc
• Ohio Health Corporation
• Ohio Health Corporation
• Ohio Health Corporation
• Ohio Health Home Care Agency
• Ohio Healthcare Agency, LLP
• Ohio Healthcare Foundation Inc
• Ohio Healthcare Plus, LLC
• Ohio Healthcare Plus, LLC
• Ohio Heart Group

• Sleep Disorder Diagnostic Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Sleep Disorder Diagnostic Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; 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.