Organization Active NPI

Central Ohio Weight Loss Clinic,LLC

  • Obesity Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1316439557
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
35.090054 Issued in OH
Legal business name
CENTRAL OHIO WEIGHT LOSS CLINIC,LLC
Practice address
4041 N High St
Columbus, OH 43214
Phone
(614) 927-9212
NPI assigned
Jun 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Michelle L Bisutti, M.D.
Title
Owner
Phone
(614) 218-6313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QB0002X 35.090054 OH Primary

Addresses

Primary practice location

4041 N High St
Columbus, OH 43214

Mailing address

196 Brighton Rd
Columbus, OH 43202-1022
Phone (614) 218-6313

National Provider Directory

National Provider Directory

Locations

4041 N High St
Ste 100B
Columbus, OH 43214
Phone (614) 927-9212

4041 N High St
Columbus, OH 43214
Phone (614) 245-2555

NPI Registry JSON

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1316439557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 BRIGHTON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021022",
            "telephone_number": "614-218-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43214",
            "telephone_number": "614-927-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO WEIGHT LOSS CLINIC,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "BISUTTI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-218-6313",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "OH",
            "license": "35.090054",
            "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 Jul 25, 2018; 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.