Organization Active NPI

Per Diem Healthcare LLC

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1891412227
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
PER DIEM HEALTHCARE LLC
Practice address
6096 E Main St Ste 105
Columbus, OH 43213-4302
Phone
(614) 908-3522
Fax
(614) 908-3522
NPI assigned
Oct 26, 2022
Last updated
Nov 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Dina O Eshun, NPNPI 1447767108
Title
Nurse Practitioner
Phone
(614) 908-3522

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
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

6096 E Main St Ste 105
Columbus, OH 43213-4302

Mailing address

6096 E Main St Ste 105
Columbus, OH 43213-4302
Phone (614) 908-3522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230413000991 OH Part B Supplier - Clinic/Group Practice 1254706856 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2308810Per Diem Healthcare LLC6096 E Main Street, Suite 105, Columbus, OH 43213Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

6096 E Main St
Ste 105
Columbus, OH 43213
Phone (614) 458-1095

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1891412227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 E MAIN ST STE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134302",
            "telephone_number": "614-908-3522",
            "fax_number": "614-908-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6096 E MAIN ST STE 105",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432134302",
            "telephone_number": "614-908-3522",
            "fax_number": "614-908-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PER DIEM HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ESHUN",
        "authorized_official_first_name": "DINA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-908-3522",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "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 Nov 15, 2024; 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.