Organization Active NPI

Olmo Family Practice, Inc.

  • Primary Care Clinic/Center
  • Gahanna, OH
National Provider Identifier
1477650430
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
35068219 Issued in OH
Legal business name
OLMO FAMILY PRACTICE, INC.
Practice address
98 Granville St
Gahanna, OH 43230-3000
Phone
(614) 428-8585
Fax
(614) 428-7784
NPI assigned
Sep 20, 2006
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
Mr. Franklin Alfredo Olmo, MD
Title
Owner/Physician
Phone
(614) 428-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 35068219 OH Primary

Addresses

Primary practice location

98 Granville St
Gahanna, OH 43230-3000

Mailing address

98 Granville St
Gahanna, OH 43230-3000
Phone (614) 428-8585

Other identifiers 1

IdentifierTypeStateIssuer
0221067MedicaidOH

National Provider Directory

National Provider Directory

Locations

98 Granville St
Gahanna, OH 43230
Phone (614) 428-8585

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477650430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 GRANVILLE ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303000",
            "telephone_number": "614-428-8585",
            "fax_number": "614-428-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98 GRANVILLE ST",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303000",
            "telephone_number": "614-428-8585",
            "fax_number": "614-428-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLMO FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OLMO",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "ALFREDO",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "614-428-8585",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OH",
            "license": "35068219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0221067",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, 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.