Medcare Clinic LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

MEDCARE CLINIC LLC

Practice address

4125 W Broad St
Columbus, OH 43228

Phone

(614) 441-1929

NPI assigned

Jun 27, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Amina M Abdule, APRN, FNPNPI 1316346786

Title

Family Nurse Practitioner

Phone

(614) 441-1929

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amina M. Abdule, APRN-CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1316346786
  Medicare reassignment Authorized official
• Genet B Tekelu, FNP

  • Primary Care Nurse Practitioner
  • Dublin, OH
  • NPI 1043077084
  Medicare reassignment NPD
• Hibo Abdi, NP

  • Nurse Practitioner
  • Columbus, OH
  • NPI 1992405047
  Medicare reassignment
• Farhiya Mohamud Shirwa, CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1942609243
  Medicare reassignment
• Mohammed Hussein, APRN.CNP

  • Pediatric Nurse Practitioner
  • Columbus, OH
  • NPI 1386242139
  NPD
• Jiwan Chapagain

  • Adult Health Nurse Practitioner
  • Syracuse, NY
  • NPI 1467844316
  NPD (past)

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1831684232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5360 REDWOOD RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432294441",
            "telephone_number": "614-441-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43228",
            "telephone_number": "614-441-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-27",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "ABDULE",
        "authorized_official_first_name": "AMINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-441-1929",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN, FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Flopoter Meckael, PHARMD
• Med and Health Solutions LLC
• Med Clinic of Columbus
• Med Columbus, LLC
• Med-Ride Transportation LLC
• Medco Health Solutions of Columbus North LTD
• Dionne Galloway Meddock, LSW
• Brenda Nohemi Medellin, LPN
• Jonathan Medernach, DO
• Stephanie M Medernach, NNP

• Primary Care Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Primary Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.