Acm Medical LLC – General Practice Physician

Key facts

NPI: 1780977140
Entity type: Organization (NPI type 2)
Primary specialty: General Practice Physician 208D00000X
License: 34.008707 (OH)
Legal business name: ACM MEDICAL LLC
Practice address: 867 W Town St
Suite 720
Columbus, OH 43222-1647
Phone: (614) 915-1834
NPI assigned: May 18, 2011
Organization subpart: No

Authorized official

Name: Dr. Adam Hall, DO
Title: Owner
Phone: (614) 915-1834

National Provider Directory

Locations

867 W Town St
Ste 720
Columbus, OH 43222
Phone (614) 915-1834

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
General Practice Physician Group: 193400000X SINGLE SPECIALTY GROUP	208D00000X	34.008707	OH	Yes

Addresses

Primary practice location

867 W Town St
Suite 720
Columbus, OH 43222-1647

Mailing address

867 W Town St
Suite 720
Columbus, OH 43222-1647
Phone (614) 915-1834

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 18, 2011.

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305676800000",
    "number": "1780977140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 W TOWN ST",
            "address_2": "SUITE 720",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221647",
            "telephone_number": "614-915-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 W TOWN ST",
            "address_2": "SUITE 720",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221647",
            "telephone_number": "614-915-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACM MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2011-05-18",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-915-1834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "34.008707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

All providers in Columbus, OH · General Practice Physician in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.