NPIMap

Organization Active NPI

Phoenix Health LLC

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1801530050
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
PHOENIX HEALTH LLC
Practice address
360 S Grant Ave
Columbus, OH 43215-5537
Phone
(614) 551-4364
NPI assigned
Apr 25, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Burt Dhira
Title
Ceo
Phone
(614) 551-4364

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

360 S Grant Ave
Columbus, OH 43215-5537

Mailing address

1414 Oakland Park Ave
Columbus, OH 43224-3507
Phone (614) 551-4326

Other practice location 1

1955 Ohio Dr
Grove City, OH 43123-4835
Phone (614) 991-0658

Other practice location 2

107 N Hinde St
Washington Court House, OH 43160-1307
Phone (614) 551-4364

Other practice location 3

1414 Oakland Park Ave
Columbus, OH 43224-3507
Phone (614) 551-4326

National Provider Directory

National Provider Directory
Tax ID family
Phoenix Health LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1414 Oakland Park Ave
Columbus, OH 43224
Phone (614) 389-3030

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1801530050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 OAKLAND PARK AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243507",
            "telephone_number": "614-551-4326",
            "fax_number": "614-413-3536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155537",
            "telephone_number": "614-551-4364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1955 Ohio Dr",
            "address_purpose": "LOCATION",
            "city": "Grove City",
            "state": "OH",
            "postal_code": "431234835",
            "country_code": "US",
            "telephone_number": "614-991-0658",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 N Hinde St",
            "address_purpose": "LOCATION",
            "city": "Washington Court House",
            "state": "OH",
            "postal_code": "431601307",
            "country_code": "US",
            "telephone_number": "614-551-4364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1414 Oakland Park Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432243507",
            "country_code": "US",
            "telephone_number": "614-551-4326",
            "fax_number": "614-413-3536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHOENIX HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "DHIRA",
        "authorized_official_first_name": "BURT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-551-4364"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "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 Jan 9, 2025; 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.