Organization Active NPI

Medical Center of Ohio, LLC

  • Child & Adolescent Psychiatry Physician
  • Hilliard, OH
National Provider Identifier
1912100801
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
35.077401 Issued in OH
Legal business name
MEDICAL CENTER OF OHIO, LLC
Practice address
3960 Brown Park Dr
Suite E
Hilliard, OH 43026-1161
Phone
(614) 658-0362
Fax
(614) 876-9403
NPI assigned
Jun 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Muhammad Nasim Akhtar, M.D.NPI 1871666701
Title
Chief Executive Officer
Phone
(614) 658-0362

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
Child & Adolescent Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0804X 35.077401 OH Primary

Addresses

Primary practice location

3960 Brown Park Dr
Suite E
Hilliard, OH 43026-1161

Mailing address

PO Box 1147
Hilliard, OH 43026-6147
Phone (614) 658-0362

National Provider Directory

National Provider Directory

Locations

3960 Brown Park Dr
Ste E
Hilliard, OH 43026
Phone (614) 658-0362

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": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912100801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1147",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430266147",
            "telephone_number": "614-658-0362",
            "fax_number": "614-876-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 BROWN PARK DR",
            "address_2": "SUITE E",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430261161",
            "telephone_number": "614-658-0362",
            "fax_number": "614-876-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CENTER OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AKHTAR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "NASIM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "614-658-0362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.077401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.