NPIMap

Organization Active NPI

Beechwold Clinic, Inc.

  • Multi-Specialty Clinic/Center
  • Columbus, OH
National Provider Identifier
1851945653
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BEECHWOLD CLINIC, INC.
Practice address
4191 N High St
Columbus, OH 43214-3011
Phone
(614) 262-1308
NPI assigned
Jul 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Authorized official

Name
Nickolai VasilkovNPI 1639605553
Title
Ceo
Phone
(614) 262-1308

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4191 N High St
Columbus, OH 43214-3011

Mailing address

4191 N High St
Columbus, OH 43214-3011

National Provider Directory

National Provider Directory

Locations

4191 N High St
Columbus, OH 43214
Phone (614) 262-1308

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564444800000",
    "number": "1851945653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4191 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4191 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143011",
            "telephone_number": "614-262-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECHWOLD CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-07-30",
        "status": "A",
        "authorized_official_last_name": "VASILKOV",
        "authorized_official_first_name": "NICKOLAI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-262-1308"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Jul 30, 2019; 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.