NPIMap

Organization Active NPI

Raphael Healthcare, LLC

  • Clinical Pathology Physician
  • Dublin, OH
National Provider Identifier
1497083828
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology PhysicianTaxonomy code 207ZC0006X
License
35.092833 Issued in OH
Legal business name
RAPHAEL HEALTHCARE, LLC
Practice address
6631 Commerce Pkwy
Suite Q
Dublin, OH 43017-3239
Phone
(614) 932-7000
Fax
(614) 932-7011
NPI assigned
Nov 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Authorized official

Name
Mrs. Myungsook Lee, RN
Title
President
Phone
(614) 932-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ZC0006X 35.092833 OH Primary

Addresses

Primary practice location

6631 Commerce Pkwy
Suite Q
Dublin, OH 43017-3239

Mailing address

6631 Commerce Pkwy
Suite Q
Dublin, OH 43017-3239
Phone (614) 932-7000

Other identifiers 1

IdentifierTypeStateIssuer
35.092833OtherOHOHIO MEDICAL BOARD LICENSE

Other names 1

  • Raphael Healthcare Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Raphael Health Care LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258934400000",
    "number": "1497083828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6631 COMMERCE PKWY",
            "address_2": "SUITE Q",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173239",
            "telephone_number": "614-932-7000",
            "fax_number": "614-932-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6631 COMMERCE PKWY",
            "address_2": "SUITE Q",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173239",
            "telephone_number": "614-932-7000",
            "fax_number": "614-932-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAPHAEL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2009-11-23",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MYUNGSOOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-932-7000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Clinical Pathology",
            "state": "OH",
            "license": "35.092833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO MEDICAL BOARD LICENSE",
            "identifier": "35.092833",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raphael Healthcare Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 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.