Active NPI
Michael Angelo Sowell Jr.
- Preferred Provider Organization
- Columbus, OH
National Provider Identifier
1316622764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- Practice address
- 4747 Ellery Dr
Columbus, OH 43227-2543 - Phone
- (380) 231-8954
- NPI assigned
- Jun 21, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | Primary |
Addresses
Primary practice location
4747 Ellery Dr
Columbus, OH 43227-2543
Mailing address
4747 Ellery Dr
Columbus, OH 43227-2543
Phone (380) 231-8954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687305600000",
"number": "1316622764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 ELLERY DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432272543",
"telephone_number": "380-231-8954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 ELLERY DR",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432272543",
"telephone_number": "380-231-8954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOWELL",
"first_name": "MICHAEL",
"middle_name": "ANGELO",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-21",
"last_updated": "2023-06-21",
"certification_date": "2023-06-21",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": null,
"license": null,
"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 Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.