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Organization Active NPI

Mount Carmel Health Providers Two, LLC

Doing business as Vascular and Endovascular Surgical Providers (Clime Rd)

  • Internal Medicine Physician
  • Columbus, OH
National Provider Identifier
1720213432
Registry record updated May 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MOUNT CARMEL HEALTH PROVIDERS TWO, LLC
Doing business as
Vascular and Endovascular Surgical Providers (Clime Rd)
Practice address
4310 Clime Rd
Columbus, OH 43228-3496
Phone
(614) 221-1009
Fax
(614) 221-0728
NPI assigned
May 26, 2009
Last updated
May 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2009

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

Authorized official

Name
Brittany N Moyer
Title
Implementation Specialist
Phone
(614) 546-4672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4310 Clime Rd
Columbus, OH 43228-3496

Mailing address

PO Box 951144
Cleveland, OH 44193-0005
Phone (614) 546-4400

Other names 1

  • Vascular and Endovascular Surgical Providers (Clime Rd) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mount Carmel Health Provider Two LLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1243296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243296000000",
    "number": "1720213432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 951144",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930005",
            "telephone_number": "614-546-4400",
            "fax_number": "614-546-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 CLIME RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432283496",
            "telephone_number": "614-221-1009",
            "fax_number": "614-221-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT CARMEL HEALTH PROVIDERS TWO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-26",
        "last_updated": "2009-05-26",
        "status": "A",
        "authorized_official_last_name": "MOYER",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "IMPLEMENTATION SPECIALIST",
        "authorized_official_telephone_number": "614-546-4672"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vascular and Endovascular Surgical Providers (Clime Rd)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 26, 2009; 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.