Active NPI
Minuteclinic Diagnostic of Ohio LLC
- Family Nurse Practitioner
- Hilliard, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- MINUTECLINIC DIAGNOSTIC OF OHIO LLC
- Practice address
- 4961 Roberts Rd
Hilliard, OH 43026-8129 - Phone
- (866) 389-2727
- Fax
- (401) 406-3539
- NPI assigned
- Feb 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Jean Pincince
- Title
- Administrator
- Phone
- (401) 770-3813
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Clinical Social Worker | 1041C0700X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
4961 Roberts Rd
Hilliard, OH 43026-8129
Mailing address
1 CVS Drive
Minuteclinic Credentialing - Mc2295
Woonsocket, RI 02895-6146
Phone (866) 389-2727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060109001066 | OH | Part B Supplier - Clinic/Group Practice | 2961425608 | Receives reassigned benefits from 238 practitioners |
National Provider Directory
National Provider Directory- Tax ID family
- Minuteclinic Diagnostic of Ohio LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Hilliard, OH
- NPI 1528707114
-
- Clinical Social Worker
- Newark, OH
- NPI 1891453833
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
120 Barrington Town Square Dr
Aurora, OH 44202
7292 Fulton Dr NW
Canton, OH 44718
Phone (330) 837-3095
947 Cincinnati Batavia Pike
Cincinnati, OH 45245
Phone (513) 943-2800
2532 E Main St
Columbus, OH 43209
Phone (614) 235-2430
7470 Sawmill Rd
Dublin, OH 43016
Phone (614) 889-5104
2120 Stringtown Rd
Grove City, OH 43123
Phone (614) 875-7884
9 W 130th St
Hinckley, OH 44233
Phone (330) 225-8458
11706 Clifton Blvd
Lakewood, OH 44107
Phone (216) 228-9296
111 S Memorial Dr
Lancaster, OH 43130
Phone (740) 653-2631
3230 Oberlin Ave
Lorain, OH 44053
Phone (440) 282-9189
3288 Oberlin Ave
Lorain, OH 44053
Phone (440) 282-9189
6632 S State Route 48
Maineville, OH 45039
Phone (513) 697-4881
969 W 5th St
Marysville, OH 43040
Phone (937) 644-3615
7259 Pearl Rd
Middleburg Heights, OH 44130
Phone (440) 243-3391
955 N 21st St
Newark, OH 43055
Phone (740) 366-9082
1339 N Main St
North Canton, OH 44720
Phone (330) 417-5040
27713 Lorain Rd
North Olmsted, OH 44070
Phone (440) 716-5166
5812 Ridge Rd
Parma, OH 44129
Phone (440) 452-5933
3488 Seldom Seen Rd
Powell, OH 43065
Phone (614) 718-1508
20641 Fairmount Blvd
Shaker Heights, OH 44118
Phone (216) 371-1234
20621 Fairmount Blvd
Shaker Hts, OH 44118
2987 Derr Rd
Springfield, OH 45503
Phone (937) 390-2500
13777 Pearl Rd
Strongsville, OH 44136
Phone (440) 238-8360
914 W Main St
Tipp City, OH 45371
Phone (937) 667-4032
1885 Henderson Rd
Upper Arlngtn, OH 43220
Phone (614) 451-6555
Practitioners & affiliated clinicians
Practitioners 241
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": "1139184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719187200000",
"number": "1699747303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 CVS DRIVE",
"address_2": "MINUTECLINIC CREDENTIALING - MC2295",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028956146",
"telephone_number": "866-389-2727",
"fax_number": "401-216-3549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4961 ROBERTS RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430268129",
"telephone_number": "866-389-2727",
"fax_number": "401-406-3539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINUTECLINIC DIAGNOSTIC OF OHIO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-06",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A",
"authorized_official_last_name": "PINCINCE",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "401-770-3813"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.