Organization Active NPI

On Time Urgent Care LLC

  • Family Nurse Practitioner
  • Blacklick, OH
National Provider Identifier
1619691177
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Authorized official

Name
Taiwo I Adebayo, NPNPI 1366100554
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20221109002821 OH Part B Supplier - Clinic/Group Practice 9335516020 Receives reassigned benefits from 1 practitioner
Practice locations: Blacklick, OH; Columbus, OH

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
36D2312535On Time Urgent Care LLC306 Slippery Elm Drive, Blacklick, OH 43004Certificate of waiverOct 14, 2026

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.