Pro Health Services LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

35080261 Issued in OH

Legal business name

PRO HEALTH SERVICES LLC

Practice address

2975 Donnylane Blvd
Columbus, OH 43235-3228

Phone

(614) 442-2600

Fax

(614) 442-1600

NPI assigned

Apr 25, 2016

Last updated

Aug 19, 2021By 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

Dr. Angelice Alexander, MD

Title

President

Phone

(614) 442-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Angelice L. Alexander-Martin, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbus, OH
  • NPI 1427150424
  Medicare reassignment NPD
• Stacy Lynn Whisner, CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1093964710
  NPD (past)

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1205281581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2975 DONNYLANE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432353228",
            "telephone_number": "614-442-2600",
            "fax_number": "614-442-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 DONNYLANE BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432353228",
            "telephone_number": "614-442-2600",
            "fax_number": "614-442-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-25",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "ANGELICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-442-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35080261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0400491",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynaro Pritchett, M.D.
• Leeann Michelle Pritchett, LPN
• Rebecca Pritchett
• Rachel D Privette Jennings, B.S., RDMS, RDCS
• Pro Care Transportation LLC
• Pro-Home Healthcare Services LLC
• Elizabeth Pierson Probert, M.D.
• Danielle Renee Probst, PH.D.
• Emily Probst, PHARMD
• Stephen F Probst, MD

• Medical Specialty Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.