NPIMap

Organization Active NPI

Southwestern Recovery Center, LLC

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1295241933
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SOUTHWESTERN RECOVERY CENTER, LLC
Practice address
2350 Briggs Rd
Columbus, OH 43223-3218
Phone
(614) 594-2141
NPI assigned
Dec 18, 2017
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Brian Dean
Title
Administrator
Phone
(614) 706-5206

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Family Medicine Physician 207Q00000X Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X
Internal Medicine Physician 207R00000X
Addiction Medicine (Internal Medicine) Physician 207RA0401X
General Practice Physician 208D00000X
Multi-Specialty Clinic/Center 261QM1300X
Clinical Medical Laboratory 291U00000X

Addresses

Primary practice location

2350 Briggs Rd
Columbus, OH 43223-3218

Mailing address

2350 Briggs Rd
Columbus, OH 43223-3218

Other practice location 1

225 W Emmitt Ave Ste 3
Waverly, OH 45690-1076
Phone (740) 912-1034

Other practice location 2

70 N Plains Rd Ste 117
The Plains, OH 45780-1095
Phone (614) 594-2141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180129001817 OH Part B Supplier - Clinic/Group Practice 5294095956 Receives reassigned benefits from 14 practitioners
2 other NPIs on this enrollment
Practice locations: Columbus, OH; Grove City, OH; The Plains, OH; Waverly, OH

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

106 N Murray Hill Rd
Ste B
Columbus, OH 43228

2044 Lockbourne Rd
Ste 2
Columbus, OH 43207

6089 Frantz Rd
Ste 103B
Dublin, OH 43017

225 W Emmitt Ave
Ste 3
Waverly, OH 45690
Phone (740) 912-1034

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1295241933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BRIGGS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BRIGGS RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233218",
            "telephone_number": "614-594-2141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225 W Emmitt Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Waverly",
            "state": "OH",
            "postal_code": "456901076",
            "country_code": "US",
            "telephone_number": "740-912-1034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 N Plains Rd Ste 117",
            "address_purpose": "LOCATION",
            "city": "The Plains",
            "state": "OH",
            "postal_code": "457801095",
            "country_code": "US",
            "telephone_number": "614-594-2141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHWESTERN RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "DEAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-706-5206"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Feb 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.