NPIMap

Organization Active NPI

Ohio State University

Doing business as OSU Traumatic Brain Injury Network

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
National Provider Identifier
1730133729
Registry record updated May 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
OHIO STATE UNIVERSITY
Doing business as
OSU Traumatic Brain Injury Network
Practice address
2050 Kenny Road
Suite 330
Columbus, OH 43212
Phone
(614) 685-8511
Fax
(614) 685-9502
NPI assigned
May 22, 2006
Last updated
May 23, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2017

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

Authorized official

Name
Anne Smith
Title
Director
Phone
(614) 293-2594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2050 Kenny Road
Suite 330
Columbus, OH 43212

Mailing address

700 Ackerman Road
Suite 570
Columbus, OH 43202-1579
Phone (614) 293-2594

Other names 1

  • OSU Traumatic Brain Injury Network Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050509000419 OH Part B Supplier - Clinic/Group Practice 6103866207 Receives reassigned benefits from 56 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, OH; Upper Arlington, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Ohio State University H11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Member organizations 12

Organizations listed as members of this organization in the National Provider Directory.

Locations

1664 Neil Ave
Columbus, OH 43201
Phone (614) 292-2020

2050 Kenny Rd
#330
Columbus, OH 43221
Phone (614) 685-8511

2050 Kenny Rd
Ste 330
Columbus, OH 43221
Phone (614) 685-8511

320 W 10th Ave
Columbus, OH 43210
Phone (614) 292-0437

Practitioners & affiliated clinicians

Practitioners 62

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.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1730133729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN ROAD",
            "address_2": "SUITE 570",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021579",
            "telephone_number": "614-293-2594",
            "fax_number": "614-293-4487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 KENNY ROAD",
            "address_2": "SUITE 330",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43212",
            "telephone_number": "614-685-8511",
            "fax_number": "614-685-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO STATE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "614-293-2594"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSU Traumatic Brain Injury Network",
            "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 23, 2017; 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.