Organization Active NPI

Clinical Care Consultants LLC

  • Internal Medicine Physician
  • Hilliard, OH
National Provider Identifier
1881136414
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
34.007628 Issued in OH
Legal business name
CLINICAL CARE CONSULTANTS LLC
Practice address
4660 Trueman Blvd
Hilliard, OH 43026-2438
Phone
(614) 771-4400
NPI assigned
Nov 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Fatema Baumgardner
Title
Manager
Phone
(614) 314-7748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 34.007628 OH Primary

Addresses

Primary practice location

4660 Trueman Blvd
Hilliard, OH 43026-2438

Mailing address

PO Box 920
Dublin, OH 43017-6920

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170406002646 OH Part B Supplier - Clinic/Group Practice 1850677733 Receives reassigned benefits from 1 practitioner
Practice locations: Columbus, OH; Worthington, OH; Hilliard, OH; Dublin, OH

National Provider Directory

National Provider Directory

Locations

3720 Olentangy River Rd
Columbus, OH 43214

6355 Emerald Pkwy
Dublin, OH 43016
Phone (614) 210-3397

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cedar View Rehabilitation and Healthcare CenterMethuen, MA, CCN 225333 Skilled nursing facility Adp of the SNF Sep 1, 2016
Riverside Post AcuteJacksonville, FL, CCN 105358 Skilled nursing facility Adp of the SNF May 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 7

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": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1881136414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430176920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 TRUEMAN BLVD",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430262438",
            "telephone_number": "614-771-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL CARE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "BAUMGARDNER",
        "authorized_official_first_name": "FATEMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-314-7748"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34.007628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.