Access Ohio, LLC
Organization Active NPI Community/Behavioral Health Agency · Columbus, OH
NPI 1689763740 · NPPES record last updated Mar 11, 2024
Key facts
- NPI
- 1689763740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 603 (OH)
- Legal business name
- ACCESS OHIO, LLC
- Practice address
- 6400 E Broad St Ste 400
Columbus, OH 43213-2979 - Phone
- (614) 655-3345
- Fax
- (614) 317-4689
- NPI assigned
- Oct 12, 2006
- Organization subpart
- No
Authorized official
- Name
- John A Johnson, MD
- Title
- Ceo
- Phone
- (614) 655-3345
Other NPIs on the same Medicare enrollment 1
Member organizations 1
Practitioners 69
-
Carl George Arlotta, EDD LPCC
-
Yvonne Y. Clark, CNP
-
Henrik Close IV, MD
-
Jacey M Duffy, PMHNP-BC
-
Julie Gentile, MD
-
Kari Harper, M.D.
-
Kurt Heintzelman, M.D.
-
Jonathan Hester, MD
-
David Huffman, PMHNP
-
Indrani Naskar, MD
-
Tracy Pankey, APRN
-
Jessica Porcelan, MD
-
Emily Porter, LISW
-
Sujana V Rayani, M.D.
-
Vinutha C Reddy, M.D
-
Sidney Robertson, APRN-CNP, PMHNP-BC
-
Giri Singh, MD
-
Sheila Nadine Tano, M.D.
-
Messeret M Tewolde, CNP
-
Paraja Thakuria, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130612000051 | OH | Part B Supplier - Clinic/Group Practice | 4385899053 |
Receives reassigned benefits from 66 practitioners 1 other NPI on this enrollment Practice locations: Columbus, OH; Mount Gilead, OH; Martins Ferry, OH; London, OH; Delaware, OH; Dayton, OH |
National Provider Directory
Locations
4725 Parkwick Dr
Columbus, OH 43228
Phone (614) 286-6990
2611 Wayne Ave
Bldg 61
Dayton, OH 45420
Phone (937) 228-0579
2611 Wayne Ave
Dayton, OH 45420
Phone (937) 228-0579
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 603 | OH | Yes |
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Primary Care Clinic/Center | 261QP2300X |
Addresses
Primary practice location
6400 E Broad St Ste 400
Columbus, OH 43213-2979
Mailing address
6400 E Broad St Ste 400
Columbus, OH 43213-2979
Phone (614) 655-3345
Other providers in Columbus, OH
- Access Home Health Care LLC
- Access Home Health Services
- Access Home Health, LLC
- Access Medical Transportation
- Access Medical Transportation
- Access Senior Homecare LLC
- Access-Med Ambulance Service
- Accessible Home Healthcare LLC
- Peter A Accetta
- Accord Behavioral Care LLC
All providers in Columbus, OH · Community/Behavioral Health Agency in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.