Organization Active NPI

Max Sports Medicine Physicians Inc

  • Health Service Clinic/Center
  • Columbus, OH
National Provider Identifier
1407062888
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
MAX SPORTS MEDICINE PHYSICIANS INC
Practice address
3705 Olentangy River Rd
#260
Columbus, OH 43214-3467
Phone
(614) 586-1220
Fax
(614) 586-1237
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dianne Allen
Title
Practice Administrator
Phone
(614) 586-1220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3705 Olentangy River Rd
#260
Columbus, OH 43214-3467

Mailing address

3705 Olentangy River Rd
#260
Columbus, OH 43214-3467
Phone (614) 586-1220

National Provider Directory

National Provider Directory

Locations

3705 Olentangy River Rd
Ste 260
Columbus, OH 43214
Phone (614) 407-8552

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407062888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 OLENTANGY RIVER RD",
            "address_2": "#260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143467",
            "telephone_number": "614-586-1220",
            "fax_number": "614-586-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 OLENTANGY RIVER RD",
            "address_2": "#260",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143467",
            "telephone_number": "614-586-1220",
            "fax_number": "614-586-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX SPORTS MEDICINE PHYSICIANS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "614-586-1220"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "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 Aug 22, 2020; 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.