Ohio State University - Cap

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

OHIO STATE UNIVERSITY - CAP

Doing business as

One Medical

Practice address

3870 Townsfair Way # 103-B
Columbus, OH 43219-6173

Phone

(888) 663-6331

Fax

(380) 223-2984

NPI assigned

May 20, 2021

Last updated

Nov 19, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

OHIO STATE UNIVERSITY-CAPAs reported in NPPES

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

Authorized official

Name

Jami Hensley

Title

Administrative Director

Phone

(614) 293-2229

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• One Medical Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Ohio State University - Cap

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1689632515

  O20040323001973

  Same enrollment

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

CLIA laboratory certificates

Part of

Ohio State University

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ohio State University - Cap

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1689632515
  NPPES parent name

Practitioners 45

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.

• Latisha M Fowler, PH.D.

  • Mental Health Counselor
  • Newark, OH
  • NPI 1275850760
  Medicare reassignment Care Compare group NPD
• Kellie M Greene, NP-C

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1821420795
  Medicare reassignment Care Compare group NPD
• Jeremy Ryan Addison Jones, PA

  • Physician Assistant
  • Columbus, OH
  • NPI 1750847166

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Pooja Goel Kamath, M.D.

  • Family Medicine Physician
  • Avon, OH
  • NPI 1043657877
  Medicare reassignment Care Compare group NPD
• Katherine Rose Mazurek, MD

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1790352417
  Medicare reassignment Care Compare group NPD
• Thomas M. Nguyen, M.D.

  • Family Medicine Physician
  • Dublin, OH
  • NPI 1144282880
  Medicare reassignment Care Compare group NPD
• Chelsea Willis, DO

  • Family Medicine Physician
  • Canal Winchester, OH
  • NPI 1942655154
  Medicare reassignment Care Compare group NPD
• Constance Ann Quinn, LCSW-R, DSW

  • Clinical Social Worker
  • New York, NY
  • NPI 1720145154

  OH

  Medicare reassignment NPD
• Anil K Agarwal, M.D.

  • Nephrology Physician
  • Columbus, OH
  • NPI 1639115413
  NPD (past)
• James N. Allen, MD

  • Pulmonary Disease Physician
  • Columbus, OH
  • NPI 1063424307
  NPD (past)
• Cregg D. Ashcraft, M.D.

  • Hospitalist Physician
  • Columbus, OH
  • NPI 1548275340

  Internal Medicine

  NPD (past)
• William H. Bay, M.D.

  • Nephrology Physician
  • Westerville, OH
  • NPI 1104825736
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1669047924",
    "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": "888-663-6331",
            "fax_number": "380-223-2984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 TOWNSFAIR WAY # 103-B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196173",
            "telephone_number": "888-663-6331",
            "fax_number": "380-223-2984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO STATE UNIVERSITY - CAP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OHIO STATE UNIVERSITY-CAP",
        "enumeration_date": "2021-05-20",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "JAMI",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "614-293-2229"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043158",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "osu.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Group",
            "address_1": "410 W 10th Ave",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432101240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "One Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ohio State University (Osu East Physician Services)
• Ohio State University (Osu H S Medical Nutrition Therapy)
• Ohio State University (Student Health Services)
• Ohio State University
• Ohio State University (Harding Behavioral Health Physician)
• Ohio State University - Cap
• Ohio State University College of Dentistry
• Ohio State University Dept. of Family Medicine
• Ohio State University Hospital
• Ohio State University Hospital East

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.