Organization Active NPI

U.S. Institute for Advanced Sinus Care and Research, LLC

  • Medical Specialty Clinic/Center
  • Columbus, OH
National Provider Identifier
1447821665
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
U.S. INSTITUTE FOR ADVANCED SINUS CARE AND RESEARCH, LLC
Practice address
770 Jasonway Ave Ste 1B
Columbus, OH 43214-4360
Phone
(614) 867-3681
Fax
(614) 914-5025
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Authorized official

Name
Mrs. Melanie Clark
Title
Chief Operating Officer
Phone
(614) 867-3681

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

770 Jasonway Ave Ste 1B
Columbus, OH 43214-4360

Mailing address

770 Jasonway Ave Ste 1B
Columbus, OH 43214-4360
Phone (614) 867-3681

Other identifiers 1

IdentifierTypeStateIssuer
2843874MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210720002590 OH Part B Supplier - Clinic/Group Practice 2668875279 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

770 Jasonway Ave
Ste 1B
Columbus, OH 43214
Phone (614) 788-2730

Practitioners & affiliated clinicians

Practitioners 1

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": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625702400000",
    "number": "1447821665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE STE 1B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144360",
            "telephone_number": "614-867-3681",
            "fax_number": "614-914-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JASONWAY AVE STE 1B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432144360",
            "telephone_number": "614-867-3681",
            "fax_number": "614-914-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U.S. INSTITUTE FOR ADVANCED SINUS CARE AND RESEARCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "614-867-3681",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2843874",
            "state": "OH"
        }
    ],
    "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 Jul 8, 2021; 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.