Active NPI
Panolar Russell
- Case Manager/Care Coordinator
- Dublin, OH
National Provider Identifier
1447889654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 525 Metro PL N Ste 300
Dublin, OH 43017-5320 - Phone
- (855) 289-1722
- NPI assigned
- Apr 8, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | OH | Primary | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 173218 | OH |
Addresses
Primary practice location
525 Metro PL N Ste 300
Dublin, OH 43017-5320
Mailing address
525 Metro PL N Ste 300
Dublin, OH 43017-5320
Phone (855) 289-1722
Other practice location 1
5460 Cleveland Ave
Columbus, OH 43231-4005
Phone (614) 754-8555 ext. 61475
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2910854 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173218 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1447889654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 METRO PL N STE 300",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175320",
"telephone_number": "855-289-1722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 METRO PL N STE 300",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430175320",
"telephone_number": "855-289-1722"
}
],
"practiceLocations": [
{
"address_1": "5460 Cleveland Ave",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432314005",
"country_code": "US",
"telephone_number": "614-754-8555 x61475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSELL",
"first_name": "PANOLAR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-08",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "173218",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2910854",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.