NPIMap

Organization Active NPI

Access Ohio, LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1689763740
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
603 Issued in 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
Last updated
Mar 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Authorized official

Name
John A Johnson, MDNPI 1720154131
Title
Ceo
Phone
(614) 655-3345

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 603 OH Primary
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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

4725 Parkwick Dr
Columbus, OH 43228
Phone (614) 286-6990

6400 E Broad St
Columbus, OH 43213
Phone (614) 655-3345

8100 Ravines Edge Ct
Ste 200
Columbus, OH 43235
Phone (614) 655-3345

Practitioners & affiliated clinicians

Practitioners 109

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.

View all 109

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1689763740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132979",
            "telephone_number": "614-655-3345",
            "fax_number": "614-317-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 E BROAD ST STE 400",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432132979",
            "telephone_number": "614-655-3345",
            "fax_number": "614-317-4689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-655-3345",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "603",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.