Gahanna Medical Practices Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34005856 Issued in OH

Legal business name

GAHANNA MEDICAL PRACTICES INC

Practice address

4550 N Hamilton Rd
Gahanna, OH 43230

Phone

(614) 428-8200

Fax

(614) 428-9700

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Susan E Lake, DONPI 1306003835

Title

Physician

Phone

(614) 428-8200

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Susan E Lake, D.O

  • Family Medicine Physician
  • Gahanna, OH
  • NPI 1306003835
  Authorized official Same address or phone
• Amber Elizabeth Curran, PA-C

  • Physician Assistant
  • Lawrence, MA
  • NPI 1700955895
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342656000000",
    "number": "1275603722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-428-8200",
            "fax_number": "614-428-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 N HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-428-8200",
            "fax_number": "614-428-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAHANNA MEDICAL PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-07-19",
        "status": "A",
        "authorized_official_last_name": "LAKE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "614-428-8200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34005856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0132412",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gahanna Dental Partners, LLP (Comfort Dental Gahanna)
• Gahanna Eyecare Associates LLC
• Gahanna Family Chiropractic, LLC
• Gahanna Health Care Center, Inc. (Rocky Creek Health & Rehabilitation)
• Gahanna Jefferson Public Schools
• Gahanna Pediatrics, LLC (Daniel J Heinmiller MD)
• Gahanna Physical Therapy Limited Partnership (Cornerstone Physical Therapy)
• Gahanna-Jefferson Public Schools
• Emily E Gaietto, APRN-CNP
• Chandra Suzanne Galante, RPH

• Family Medicine Physician in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2012; 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.