Organization Active NPI

Med Columbus, LLC

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1710214168
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35053771 Issued in OH
Legal business name
MED COLUMBUS, LLC
Practice address
1020 Dennison Ave
Suite #200
Columbus, OH 43201-3497
Phone
(614) 564-9067
Fax
(614) 564-9167
NPI assigned
Nov 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Authorized official

Name
Karen A Clemency, M.D.
Title
President
Phone
(614) 564-9067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35053771 OH Primary

Addresses

Primary practice location

1020 Dennison Ave
Suite #200
Columbus, OH 43201-3497

Mailing address

1020 Dennison Ave
Suite 200
Columbus, OH 43201-3497
Phone (614) 564-9067

National Provider Directory

National Provider Directory

Locations

1020 Dennison Ave
Ste 200
Columbus, OH 43201
Phone (614) 564-9067

Practitioners & affiliated clinicians

Practitioners 1

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": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1710214168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 DENNISON AVE",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013497",
            "telephone_number": "614-564-9067",
            "fax_number": "614-564-9167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 DENNISON AVE",
            "address_2": "SUITE #200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013497",
            "telephone_number": "614-564-9067",
            "fax_number": "614-564-9167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED COLUMBUS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "CLEMENCY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-564-9067",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35053771",
            "primary": true
        }
    ],
    "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 Sep 27, 2011; 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.