Organization Active NPI

Premier Recovery Center, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Columbus, OH
National Provider Identifier
1255778502
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
35084995 Issued in OH
Legal business name
PREMIER RECOVERY CENTER, LLC
Practice address
4449 Easton Way Ste 200
Columbus, OH 43219-6093
Phone
(614) 547-6237
NPI assigned
May 28, 2013
Last updated
May 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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

Authorized official

Name
Dr. Trupti V Patel, MD
Title
President
Phone
(614) 547-6237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 35084995 OH Primary

Addresses

Primary practice location

4449 Easton Way Ste 200
Columbus, OH 43219-6093

Mailing address

4449 Easton Way Ste 200
Columbus, OH 43219-6093
Phone (614) 547-6237

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1255778502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196093",
            "telephone_number": "614-547-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4449 EASTON WAY STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196093",
            "telephone_number": "614-547-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "TRUPTI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-547-6237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "35084995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; 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.