Imagine Great Western Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

IMAGINE GREAT WESTERN ACADEMY

Practice address

310 N Wilson Rd
Columbus, OH 43204-6221

Phone

(614) 276-1028

Fax

(614) 276-1049

NPI assigned

Feb 23, 2009

Last updated

Feb 23, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Keller

Title

Principal

Phone

(614) 276-1028

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235347200000",
    "number": "1427298074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 N WILSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432046221",
            "telephone_number": "614-276-1028",
            "fax_number": "614-276-1049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N WILSON RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432046221",
            "telephone_number": "614-276-1028",
            "fax_number": "614-276-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINE GREAT WESTERN ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "614-276-1028"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Illumia Health, LLC
• Illuminating Victory
• Ilwad Healthcare Services LLC.
• Farhan Zaheer Ilyas
• Imagine Columbus Primary Academy
• Imagyn Medical Associates, LTD
• Uyi Jefferson Imasuen, MD
• Brian F. Imbrogno, MD
• Jessica Imbrogno, FNP-C
• Caitlin Marie Imhoff

• Local Education Agency (LEA) in Columbus, OH
• Providers in Columbus, OH by specialty
• Local Education Agency (LEA) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.