NPIMap

Organization Active NPI

Anne Therese Aesthetic Medicine

  • Specialist
  • Gahanna, OH
National Provider Identifier
1669625265
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35-062446 Issued in OH
Legal business name
ANNE THERESE AESTHETIC MEDICINE
Practice address
438 Beecher Rd
Gahanna, OH 43230-1797
Phone
(614) 855-4411
Fax
(614) 855-4452
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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

Authorized official

Name
Anne T Stubbs, M.D.NPI 1679870240
Title
M.D.
Phone
(614) 855-4411

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35-062446 OH Primary

Addresses

Primary practice location

438 Beecher Rd
Gahanna, OH 43230-1797

Mailing address

438 Beecher Rd
Gahanna, OH 43230-1797
Phone (614) 855-4411

National Provider Directory

National Provider Directory

Locations

438 Beecher Rd
Gahanna, OH 43230
Phone (614) 328-9657

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1669625265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 BEECHER RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301797",
            "telephone_number": "614-855-4411",
            "fax_number": "614-855-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 BEECHER RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301797",
            "telephone_number": "614-855-4411",
            "fax_number": "614-855-4452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNE THERESE AESTHETIC MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "614-855-4411",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-062446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.