Mid-Ohio Family Practice Associates LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MID-OHIO FAMILY PRACTICE ASSOCIATES LLC

Doing business as

FAMILY HEALTH CARE CENTER

Practice address

2800 W Broad St
Columbus, OH 43204-2654

Phone

(614) 274-4171

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Thompson Nwosu

Title

Owner

Phone

(614) 330-9798

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FAMILY HEALTH CARE CENTER Doing business as

Locations

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1568989945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 AUGUSTA WOODS CT",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829180",
            "telephone_number": "614-937-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042654",
            "telephone_number": "614-274-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO FAMILY PRACTICE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "NWOSU",
        "authorized_official_first_name": "THOMPSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-330-9798"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0144259",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "FAMILY HEALTH CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.