Individual provider Active NPI

Cynthia J Milich, N.P.

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1912981812
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
COA.07508.NP Issued in OH
Practice address
112 Jefferson Ave
Suite 201
Columbus, OH 43215-1702
Phone
(614) 453-1065
Fax
(614) 453-1078
NPI assigned
Dec 5, 2005
Last updated
Jun 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X COA.07508.NP OH Primary

Addresses

Primary practice location

112 Jefferson Ave
Suite 201
Columbus, OH 43215-1702

Mailing address

112 Jefferson Ave
Suite 201
Columbus, OH 43215-1702
Phone (614) 453-1065

Other identifiers 1

IdentifierTypeStateIssuer
2452019MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000365 OH Practitioner - Nurse Practitioner 2961485081 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gateway Medical Center LLCGroup PAC ID 4880123835, 2 clinicians

Practice addresses (Care Compare)

270 S Grant Ave
Columbus, OH 43215-5334
Phone (614) 562-9101

3433 Agler Rd
Suite 1100
Columbus, OH 43219-3390
Phone (614) 453-1065

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
COA.07508.NPOHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Exploration Company CurrentSince Oct 1, 2025 Accepting new patients
Gateway Medical Center LLC CurrentSince Nov 1, 2024 Accepting new patients
Sciometrix Inc CurrentSince Jan 1, 2026 Accepting new patients
Elevated Wellness Medical Center CurrentSince Sep 6, 2024 Accepting new patients
Central Ohio Primary Care Physicians, Inc. Past Accepting new patients

Locations

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

3433 Agler Rd
Ste 1100
Columbus, OH 43219
Phone (614) 453-1065

99 N Brice Rd
Ste 140
Columbus, OH 43213
Phone (614) 863-0013

1500 E Main St
Ste 2B
Lancaster, OH 43130
Phone (740) 654-0232

5340 E Main St
Ste 107
Whitehall, OH 43213
Phone (614) 558-1021

Interoperability endpoints

  • Direct secure messaging: cynthia.milich.1@33191.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1912981812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151702",
            "telephone_number": "614-453-1065",
            "fax_number": "614-453-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151702",
            "telephone_number": "614-453-1065",
            "fax_number": "614-453-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILICH",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "COA.07508.NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452019",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.