NPIMap

Organization Active NPI

Chalmers P. Wylie , Ambulatory Care Center

  • VA Clinic/Center
  • Columbus, OH
National Provider Identifier
1548601818
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
License
S.0900647 Issued in OH
Legal business name
CHALMERS P. WYLIE , AMBULATORY CARE CENTER
Practice address
420 N James Rd
Columbus, OH 43219-1834
Phone
(614) 257-5498
Fax
(614) 257-5205
NPI assigned
Jul 15, 2013
Last updated
Oct 31, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Authorized official

Name
Mrs. Annie N. Jones, MSW, LSWNPI 1760811970
Title
Social Worker/Mental Health
Phone
(614) 257-5498

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X S.0900647 OH Primary

Addresses

Primary practice location

420 N James Rd
Columbus, OH 43219-1834

Mailing address

420 N James Rd
Columbus, OH 43219-1834
Phone (614) 257-5498

Other identifiers 1

IdentifierTypeStateIssuer
S. 0900647OtherOHSTATE OF OHIO COUNSELOR AND SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST BOARD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0988512Chalmers P Wylie Ambulatory Care Center420 N James Road, Columbus, OH 43219AccreditationMay 22, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lisa M Degennaro103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383177600000",
    "number": "1548601818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-5498",
            "fax_number": "614-257-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N JAMES RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191834",
            "telephone_number": "614-257-5498",
            "fax_number": "614-257-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHALMERS P. WYLIE , AMBULATORY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-10-31",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "SOCIAL WORKER/MENTAL HEALTH",
        "authorized_official_telephone_number": "614-257-5498",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": "OH",
            "license": "S.0900647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF OHIO COUNSELOR AND SOCIAL WORKER, MARRIAGE AND FAMILY THERAPIST BOARD",
            "identifier": "S. 0900647",
            "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 Oct 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.