Organization Active NPI

Molina Pathways of Ohio LLC

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1265800148
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MOLINA PATHWAYS OF OHIO LLC
Practice address
50 W Broad St
Columbus, OH 43215-3301
Phone
(972) 536-7209
NPI assigned
Sep 9, 2015
Organization subpart
Yes
Parent organization
MOLINA PATHWAYS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Craig Bass
Title
President of Pathways
Phone
(972) 536-7209

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

50 W Broad St
Columbus, OH 43215-3301

Mailing address

5605 N Macarthur Blvd Ste 400
Irving, TX 75038-2693

National Provider Directory

National Provider Directory
Part of
Molina Care LLC

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1265800148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 N MACARTHUR BLVD STE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153301",
            "telephone_number": "972-536-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLINA PATHWAYS OF OHIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOLINA PATHWAYS LLC",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "PRESIDENT OF PATHWAYS",
        "authorized_official_telephone_number": "972-536-7209"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "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 Sep 9, 2015; 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.