Individual provider Active NPI

Allie M. Marohl, CNM

  • Advanced Practice Midwife
  • Columbus, OH
National Provider Identifier
1760762520
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
COA.12567-NM Issued in OH
Practice address
1500 E 17TH Ave
Columbus, OH 43219
Phone
(614) 645-2700
Fax
(614) 645-2727
NPI assigned
Aug 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X COA.12567NM OH
Advanced Practice Midwife 367A00000X COA.12567-NM OH Primary

Addresses

Primary practice location

1500 E 17TH Ave
Columbus, OH 43219

Mailing address

1500 E 17TH Ave
Columbus, OH 43219-1002
Phone (614) 645-2700

Other practice location 1

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

Other identifiers 1

IdentifierTypeStateIssuer
0056976MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000358 OH Practitioner - Certified Nurse Midwife (CNM) 7810160520 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
COA.12567-NMOHMDAdvanced Practice Midwife
COA.12567NMOHMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Neighborhood Health Center Inc CurrentSince Sep 1, 2011 Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center Inc Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center, Inc. Current Accepting new patients
Columbus Neighborhood Health Center Inc CurrentSince Sep 1, 2011 Accepting new patients

Locations

L3318
Columbus, OH 43260

240 Parsons Ave
Fl 2
Columbus, OH 43215
Phone (614) 645-7487

1180 E Main St
Columbus, OH 43205
Phone (614) 253-0861

1500 E 17th Ave
Columbus, OH 43219
Phone (614) 645-2700

2300 W Broad St
Columbus, OH 43204
Phone (614) 645-2300

3433 Agler Rd
Ste 2800
Columbus, OH 43219
Phone (614) 645-1600

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1760762520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E 17TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432191002",
            "telephone_number": "614-645-2700",
            "fax_number": "614-645-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E 17TH AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43219",
            "telephone_number": "614-645-2700",
            "fax_number": "614-645-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 E 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43219",
            "country_code": "US",
            "telephone_number": "614-645-2700",
            "fax_number": "614-645-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAROHL",
        "first_name": "ALLIE",
        "middle_name": "M.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-25",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA.12567NM",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "OH",
            "license": "COA.12567-NM",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056976",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.