NPIMap

Organization Active NPI

Perfected Wellness, LLC

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1336436153
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
34.003736 Issued in OH
Legal business name
PERFECTED WELLNESS, LLC
Practice address
4889 Sinclair Rd
Suite 112
Columbus, OH 43229-5432
Phone
(614) 537-5542
NPI assigned
Jun 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Dr. Roger Garcia, D.O.
Title
President
Phone
(614) 537-5542

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X 34.003736 OH Primary
Primary Care Clinic/Center 261QP2300X 34.003736 OH

Addresses

Primary practice location

4889 Sinclair Rd
Suite 112
Columbus, OH 43229-5432

Mailing address

4889 Sinclair Rd
Suite 112
Columbus, OH 43229-5432
Phone (614) 537-5542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1336436153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 SINCLAIR RD",
            "address_2": "SUITE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295432",
            "telephone_number": "614-537-5542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4889 SINCLAIR RD",
            "address_2": "SUITE 112",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432295432",
            "telephone_number": "614-537-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECTED WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-30",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-537-5542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OH",
            "license": "34.003736",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "34.003736",
            "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 Sep 2, 2015; 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.