NPIMap

Organization Active NPI

Osu Family Practice Services

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1659339653
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OSU FAMILY PRACTICE SERVICES
Practice address
2231 N High St
Columbus, OH 43201-4153
Phone
(614) 293-2700
Fax
(614) 293-2720
NPI assigned
May 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Jami Hensley
Title
Director, Corporate Credentialing
Phone
(614) 293-7444

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

2231 N High St
Columbus, OH 43201-4153

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-5123

Other identifiers 1

IdentifierTypeStateIssuer
2107240MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031117000511 OH Part B Supplier - Clinic/Group Practice 9032023874 Receives reassigned benefits from 15 practitioners
Practice locations: Columbus, OH

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

4197 NW 86th Ter
Fl 2
Gainesville, FL 32606
Phone (352) 265-0615

410 W 10th Ave
Rm 115A
Columbus, OH 43210

456 W 10th Ave
Rm 1740
Columbus, OH 43210

181 Taylor Ave
#1203
Columbus, OH 43203

1727 Bethel Rd
Columbus, OH 43220
Phone (614) 293-3634

2835 Fred Taylor Dr
Columbus, OH 43202
Phone (614) 293-2001

1615 Fishinger Rd
Columbus, OH 43221
Phone (614) 293-7417

1581 Dodd Dr
Ste 301
Columbus, OH 43210
Phone (614) 688-6492

1405 S High St
Columbus, OH 43207
Phone (614) 293-3330

915 Olentangy River Rd
Ste 2000
Columbus, OH 43212
Phone (614) 293-4889

480 Medical Center Dr
Columbus, OH 43210
Phone (614) 293-3830

410 W 10th Ave
#125
Columbus, OH 43210

6790 Perimeter Dr
Ste 200
Dublin, OH 43016
Phone (614) 602-4088

4240 Campus Dr
Lima, OH 45804

97 E Main St
#B
New Albany, OH 43054

6100 N Hamilton Rd
Ste 3C
Westerville, OH 43081
Phone (614) 293-7500

445 E Dublin Granville Rd
Bldg A
Worthington, OH 43085

445 E Dublin Granville Rd
Fl 1
Worthington, OH 43085

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ohio State University, the/the Ohio State University Total Health andColumbus, OH, CCN 361150 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Aug 1, 2017
Osu Family Practice ServicesColumbus, OH, CCN 361815 Federally qualified health center 5% Or Greater Direct Ownership Interest Dec 5, 2022
The Ohio State University Total Health and Wellness at OceColumbus, OH, CCN D21015 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Oct 1, 2023
The Ohio State University Total Health Care Center at RardinColumbus, OH, CCN D21071 Federally qualified health center 5% Or Greater Direct Ownership Interest Mar 1, 2025

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1659339653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432014153",
            "telephone_number": "614-293-2700",
            "fax_number": "614-293-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSU FAMILY PRACTICE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "DIRECTOR, CORPORATE CREDENTIALING",
        "authorized_official_telephone_number": "614-293-7444"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.