Active NPI
Preferred Center for Integrative Medicine LLC
- General Practice Physician
- Columbus, OH
National Provider Identifier
1306183538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 3578117
- Legal business name
- PREFERRED CENTER FOR INTEGRATIVE MEDICINE LLC
- Practice address
- 1021 Country Club Rd
Suite B
Columbus, OH 43213 - Phone
- (614) 762-7312
- Fax
- (888) 551-2775
- NPI assigned
- Jan 8, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sophia Sipes, MBA
- Title
- Practice Administrator
- Phone
- (614) 762-7312
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Chiropractor | 111NN1001X | DC.2170 | OH | |
| Anesthesiology Physician | 207L00000X | 34006525 | OH | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 3578117 | OH | |
| Obstetrics & Gynecology Physician | 207V00000X | 3578117 | OH | |
| Orthopaedic Surgery Physician | 207X00000X | 35-049187 | OH | |
| Spinal Cord Injury Medicine Physician | 2081P0004X | 51012577 | OH | |
| General Practice Physician | 208D00000X | 3578117 | OH | Primary |
| Pain Medicine Physician | 208VP0000X | 3578117 | OH |
Addresses
Primary practice location
1021 Country Club Rd
Suite B
Columbus, OH 43213
Mailing address
1021 Country Club Rd
Suite B
Columbus, OH 43213
Phone (614) 762-7312
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Circleville, OH
- NPI 1114987914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381708800000",
"number": "1306183538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 COUNTRY CLUB RD",
"address_2": "SUITE B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-762-7312",
"fax_number": "888-551-2775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 COUNTRY CLUB RD",
"address_2": "SUITE B",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43213",
"telephone_number": "614-762-7312",
"fax_number": "888-551-2775"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERRED CENTER FOR INTEGRATIVE MEDICINE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-08",
"last_updated": "2013-10-14",
"status": "A",
"authorized_official_last_name": "SIPES",
"authorized_official_first_name": "SOPHIA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "614-762-7312",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MBA"
},
"taxonomies": [
{
"code": "111NN1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Nutrition",
"state": "OH",
"license": "DC.2170",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "OH",
"license": "34006525",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": "OH",
"license": "3578117",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "3578117",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "35-049187",
"primary": false
},
{
"code": "2081P0004X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
"state": "OH",
"license": "51012577",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "OH",
"license": "3578117",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "OH",
"license": "3578117",
"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 Oct 14, 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.