NPIMap

Organization Active NPI

Osu Family Practice Services

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1881024586
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
OSU FAMILY PRACTICE SERVICES
Practice address
2231 N High St
Columbus, OH 43201-1101
Phone
(614) 293-2700
Fax
(614) 293-2720
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Jeffrey J Ellison
Title
Admin/Director of Finance
Phone
(614) 293-2150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2231 N High St
Columbus, OH 43201-1101

Mailing address

660 Ackerman Rd
Columbus, OH 43202-4500

Other identifiers 1

IdentifierTypeStateIssuer
2107240MedicaidOH

Other names 1

  • OSU Fastcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ohio State Fast Care7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1881024586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 ACKERMAN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432024500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432011101",
            "telephone_number": "614-293-2700",
            "fax_number": "614-293-2720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSU FAMILY PRACTICE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN/DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "614-293-2150"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107240",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSU Fastcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 15, 2013; 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.