Active NPI
On Time Urgent Care LLC
- Family Nurse Practitioner
- Blacklick, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- ON TIME URGENT CARE LLC
- Practice address
- 306 Slippery Elm Dr
Blacklick, OH 43004-7119 - Phone
- (614) 216-1101
- NPI assigned
- Sep 28, 2022
- Last updated
- Sep 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Taiwo I Adebayo, NP
- Title
- Owner/Authorized Official
- Phone
- (614) 216-1101
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
306 Slippery Elm Dr
Blacklick, OH 43004-7119
Mailing address
306 Slippery Elm Dr
Blacklick, OH 43004-7119
Phone (614) 216-1101
Other practice location 1
2977 W Broad St
Columbus, OH 43204-2650
Phone (614) 591-4044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2312535 | On Time Urgent Care LLC | Certificate of waiver | Oct 14, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Primary Care Nurse Practitioner
- Peebles, OH
- NPI 1366100554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694995200000",
"number": "1619691177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 SLIPPERY ELM DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430047119",
"telephone_number": "614-216-1101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 SLIPPERY ELM DR",
"city": "BLACKLICK",
"state": "OH",
"postal_code": "430047119",
"telephone_number": "614-216-1101"
}
],
"practiceLocations": [
{
"address_1": "2977 W Broad St",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432042650",
"country_code": "US",
"telephone_number": "614-591-4044",
"fax_number": "614-275-3073",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ON TIME URGENT CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-28",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A",
"authorized_official_last_name": "ADEBAYO",
"authorized_official_first_name": "TAIWO",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "614-216-1101",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blacklick, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.