Minuteclinic Diagnostic of Ohio LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

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

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Minuteclinic Diagnostic of Ohio LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Minuteclinic Diagnostic of Ohio LLC

  • Family Nurse Practitioner
  • Hilliard, OH
  • NPI 1528707114
  NPD tax ID
• Minuteclinic Diagnostic of Ohio LLC

  • Clinical Social Worker
  • Newark, OH
  • NPI 1891453833
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CVS Pharmacy Inc

  dba CVS Pharmacy # 01900

  • Pharmacy
  • Boston, MA
  • NPI 1235238536

  Member Of

  NPD member

Locations

Practitioners 241

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.

• Roda Hassan Abdirizak, FNP

  • Family Nurse Practitioner
  • Westerville, OH
  • NPI 1386358125
  Medicare reassignment Care Compare group NPD
• Ashley Abdul-Karim

  • Family Nurse Practitioner
  • Lakewood, OH
  • NPI 1720843170
  Medicare reassignment Care Compare group NPD
• Adrianna Reyna Albin, APRN

  • Family Nurse Practitioner
  • Pickerington, OH
  • NPI 1093422693
  Medicare reassignment Care Compare group NPD
• Jaclyn Algaheim, FNP

  • Family Nurse Practitioner
  • Northfield, OH
  • NPI 1255016028
  Medicare reassignment Care Compare group NPD
• Patricia Elie Bako, FNP-C

  • Family Nurse Practitioner
  • Parma, OH
  • NPI 1023826518
  Medicare reassignment Care Compare group NPD
• Carrie K Barnes, APRN, FNP-C

  • Family Nurse Practitioner
  • Magnolia, OH
  • NPI 1831562263
  Medicare reassignment Care Compare group NPD
• Aman Battle

  • Family Nurse Practitioner
  • Woodmere, OH
  • NPI 1487473393
  Medicare reassignment Care Compare group NPD
• Karen E Beck, CNP

  • Family Nurse Practitioner
  • West Chester, OH
  • NPI 1295041143
  Medicare reassignment Care Compare group NPD
• Holley Madison Behnke, NP-C

  • Family Nurse Practitioner
  • Pickerington, OH
  • NPI 1598334401
  Medicare reassignment Care Compare group NPD
• Cassandra Bernard

  • Family Nurse Practitioner
  • Upper Arlington, OH
  • NPI 1962914085
  Medicare reassignment Care Compare group NPD
• Kellie Lyn Birchmeier, FNP-BC

  • Family Nurse Practitioner
  • Maineville, OH
  • NPI 1538598107
  Medicare reassignment Care Compare group NPD
• Katie Black

  • Family Nurse Practitioner
  • Grove City, OH
  • NPI 1073164588
  Medicare reassignment Care Compare group NPD

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": []
}

• Michael David Miller, MD
• Shannon Marie Miller, LPCC-S
• Vicki L Miller, M.D.
• Colin Minner, DPT
• Minuteclinic Diagnostic of Ohio LLC
• Minuteclinic Primary Care Ohio LLC
• Colleen Kristina Miranda, CNP
• Modern Allergy, LLC
• Rohan Manoj Modi, M.D.
• Katherine N Mollohan, LISW

• Family Nurse Practitioner in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Family Nurse Practitioner in Ohio

• 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.

Verify at the official NPI Registry.