Organization Active NPI

Town Street Medical, LLC

  • Family Medicine Physician
  • Columbus, OH
National Provider Identifier
1922464437
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OH34-003964 Issued in OH
Legal business name
TOWN STREET MEDICAL, LLC
Practice address
Town Street Medical LLC Dba Columbus Immediate Care
3781 S High Street
Columbus, OH 43207-4011
Phone
(614) 221-3300
Fax
(614) 221-7858
NPI assigned
Jan 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Authorized official

Name
Mrs. Mona L Royder, M.S. M.T.
Title
Ceo/Owner
Phone
(405) 601-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OH34-003964 OH Primary

Addresses

Primary practice location

Town Street Medical LLC Dba Columbus Immediate Care
3781 S High Street
Columbus, OH 43207-4011

Mailing address

1809 Drury LN
Nichols Hills, OK 73116-5311
Phone (614) 284-8073

National Provider Directory

National Provider Directory

Locations

867 W Town St
Ste 500
Columbus, OH 43222
Phone (614) 221-3300

1547 W Broad St
Columbus, OH 43222
Phone (614) 352-2620

Practitioners & affiliated clinicians

Practitioners 2

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": "1452643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1922464437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 DRURY LN",
            "city": "NICHOLS HILLS",
            "state": "OK",
            "postal_code": "731165311",
            "telephone_number": "614-284-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TOWN STREET MEDICAL LLC DBA COLUMBUS IMMEDIATE CARE",
            "address_2": "3781 S HIGH STREET",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432074011",
            "telephone_number": "614-221-3300",
            "fax_number": "614-221-7858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN STREET MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-13",
        "last_updated": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "ROYDER",
        "authorized_official_first_name": "MONA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "405-601-3330",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. M.T."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "OH34-003964",
            "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 Jan 7, 2025; 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.