Crestline Medical Center LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

CRESTLINE MEDICAL CENTER LLC

Doing business as

Urgent Care Physicians Center

Practice address

720 Worthington Woods Blvd
Worthington, OH 43085-5713

Phone

(614) 785-4700

Fax

(614) 638-7348

NPI assigned

Jan 26, 2012

Organization subpart

No

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

Authorized official

Name

Arinze E Akusoba, MD

Title

Partner

Phone

(614) 785-4700

Specialties & licenses 1

Addresses

Other names 1

• URGENT CARE PHYSICIANS CENTER Doing business as

Locations

Practitioners 1

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

• Martin Akusoba, M.D.

  • Emergency Medicine Physician
  • Upper Sandusky, OH
  • NPI 1811928302
  NPD (past)

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1699046391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WORTHINGTON WOODS BLVD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855713",
            "telephone_number": "614-785-4700",
            "fax_number": "614-638-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WORTHINGTON WOODS BLVD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430855713",
            "telephone_number": "614-785-4700",
            "fax_number": "614-638-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTLINE MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-26",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "AKUSOBA",
        "authorized_official_first_name": "ARINZE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "614-785-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "URGENT CARE PHYSICIANS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County Lineprofessional Pharmacy LLC (The Medicine Shoppe Pharmacy)
• Lisa Michelle Cowley, LSW
• CPP Medication Management LLC
• Leah Crawford
• Shauna Michelle Crawford
• Anne Marie Crimmings, PH.D.
• Jacob Crist
• Ceri Criswell
• Victoria L Critchley
• Roxanne Crocco, LISW

• General Practice Physician in Worthington, OH
• Providers in Worthington, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; 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.