Individual provider Active NPI

Edward K Osei

  • Psychiatric/Mental Health Nurse Practitioner
  • Pataskala, OH
National Provider Identifier
1447807359
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.025424 Issued in OH
Practice address
24 Front St # 207
Pataskala, OH 43062-8357
Phone
(614) 507-6808
NPI assigned
Aug 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.025424 OH Primary

Addresses

Primary practice location

24 Front St # 207
Pataskala, OH 43062-8357

Mailing address

24 Front St # 207
Pataskala, OH 43062-8357
Phone (614) 507-6808

Other names 1

  • Kwabena Adu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200124002130 OH Practitioner - Nurse Practitioner 7416382205 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mount Carmel Behavioral Healthcare LLCGroup PAC ID 0446595383, 11 clinicians

Practice addresses (Care Compare)

4646 Hilton Corporate Dr
Columbus, OH 43232-4147
Phone (614) 487-2020

925 Wagner Ave
Galion, OH 44833-1535
Phone (419) 468-1090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.025424OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dublin Springs Physician Group, LLC Psychiatric/Mental Health CurrentSince Jun 29, 2020 Accepting new patients
Mount Carmel Behavioral Healthcare, LLC CurrentSince Nov 9, 2019 Accepting new patients
JJ Brothers Healthcare Services Psychiatric/Mental Health CurrentSince Jan 8, 2020 Accepting new patients

Locations

4646 Hilton Ln
Columbus, OH 43232
Phone (614) 487-2020

2085 Citygate Dr
Columbus, OH 43219
Phone (614) 300-9100

7625 Hospital Dr
Dublin, OH 43016
Phone (614) 414-2277

925 Wagner Ave
Galion, OH 44833
Phone (419) 468-1090

24 Front St
Ste 207
Pataskala, OH 43062
Phone (614) 507-6808

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1447807359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRONT ST # 207",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628357",
            "telephone_number": "614-507-6808",
            "fax_number": "614-852-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 FRONT ST # 207",
            "city": "PATASKALA",
            "state": "OH",
            "postal_code": "430628357",
            "telephone_number": "614-507-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSEI",
        "first_name": "EDWARD",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-25",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.025424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KWABENA",
            "last_name": "ADU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pataskala, OH

Sources for this page

Verify at the official NPI Registry.