Organization Active NPI

Intensive Care Experts Health Network LLC

  • Acute Care Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1396617841
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
Legal business name
INTENSIVE CARE EXPERTS HEALTH NETWORK LLC
Practice address
433 Obetz Rd
Columbus, OH 43207-4098
Phone
(641) 491-2000
NPI assigned
Sep 23, 2025
Organization subpart
Yes
Parent organization
INTENSIVE CARE EXPERTS HEALTH NETWORK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Eric Jarquin
Title
Financial Controller
Phone
(954) 651-8332

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X Primary

Addresses

Primary practice location

433 Obetz Rd
Columbus, OH 43207-4098

Mailing address

701 N Federal Hwy
Hallandale Beach, FL 33009-2449
Phone (954) 482-4747

Other names 1

  • ICEHN OHIO Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250530001057 OH Part B Supplier - Clinic/Group Practice 6608195599 Receives reassigned benefits from 7 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, OH; Columbus, OH; Lancaster, OH; Middleburg Heights, OH

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Intensive Care Experts HLTH7 organizations share this tax ID, including this one
Part of
Intensive Care Experts HLTH

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

701 N Federal Hwy
Hallandale Beach, FL 33009
Phone (954) 998-2099

1661 Old Henderson Rd
Columbus, OH 43220

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1396617841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 N FEDERAL HWY",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330092449",
            "telephone_number": "954-482-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 OBETZ RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432074098",
            "telephone_number": "641-491-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTENSIVE CARE EXPERTS HEALTH NETWORK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTENSIVE CARE EXPERTS HEALTH NETWORK LLC",
        "enumeration_date": "2025-09-23",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "JARQUIN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "FINANCIAL CONTROLLER",
        "authorized_official_telephone_number": "954-651-8332"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICEHN OHIO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 29, 2026; 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.