Columbus Vascular Vein and Wound Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COLUMBUS VASCULAR VEIN AND WOUND CENTER LLC

Practice address

450 Alkyre Run Drive
350
Westerville, OH 43082-6909

Phone

(614) 917-0696

Fax

(888) 732-7890

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Rajmony Pannu, MD

Title

Member

Phone

(614) 800-1995

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20696/brand/2/csg/1/fhir/r4

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1275930927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 ALKYRE RUN DRIVE",
            "address_2": "350",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826909",
            "telephone_number": "614-800-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 ALKYRE RUN DRIVE",
            "address_2": "350",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430826909",
            "telephone_number": "614-917-0696",
            "fax_number": "888-732-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS VASCULAR VEIN AND WOUND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "PANNU",
        "authorized_official_first_name": "RAJMONY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-800-1995",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Westerville, OH
• Providers in Westerville, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.