NPIMap

Organization Active NPI

Wellness Medical Clinic LLC

  • Legal Medicine
  • Columbus, OH
National Provider Identifier
1841735909
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
35-082017 Issued in OH
Legal business name
WELLNESS MEDICAL CLINIC LLC
Practice address
3033 Sullivant Ave
Columbus, OH 43204-2424
Phone
(614) 670-7771
Fax
(614) 385-7771
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Muhammad Ashraf, M.D.
Title
Owner
Phone
(614) 670-7771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 35-082017 OH Primary

Addresses

Primary practice location

3033 Sullivant Ave
Columbus, OH 43204-2424

Mailing address

3033 Sullivant Ave
Columbus, OH 43204-2424
Phone (614) 670-7771

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1841735909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042424",
            "telephone_number": "614-670-7771",
            "fax_number": "614-385-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432042424",
            "telephone_number": "614-670-7771",
            "fax_number": "614-385-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "ASHRAF",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-670-7771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "OH",
            "license": "35-082017",
            "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 Dec 28, 2016; 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.