Elite Medical of Columbus

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ELITE MEDICAL OF COLUMBUS

Practice address

500 E Main St Ste 105
Columbus, OH 43215

Phone

(614) 962-6330

Fax

(614) 583-8142

NPI assigned

Jun 19, 2018

Organization subpart

No

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

Authorized official

Name

Emma Cull

Title

Coo

Phone

(678) 469-5011

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1225522782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST STE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155619",
            "telephone_number": "614-962-6330",
            "fax_number": "614-583-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E MAIN ST STE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43215",
            "telephone_number": "614-962-6330",
            "fax_number": "614-583-8142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL OF COLUMBUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "CULL",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "678-469-5011"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Healthcare Agency LLC
• Elite Healthcare Services, LLC
• Elite Home Comfort Care LLC
• Elite Home Healthcare, LLC
• Elite Khair LLC
• Elite Passport Services, LLC
• Elite Psychiatry & Behavioral Health, LLC
• Elite Speech Columbus, LLC
• Elizabeth Adult Daycare Corporation
• Elizabeth Kakungulu Clinical Counseling Services LLC

• Physical Medicine & Rehabilitation Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Medicine & Rehabilitation Physician in Ohio

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