NPIMap

Organization Active NPI

Professional Integrative Care LLC

  • Primary Care Clinic/Center
  • Powell, OH
National Provider Identifier
1932094752
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
PROFESSIONAL INTEGRATIVE CARE LLC
Practice address
4018 N Hampton Dr
Powell, OH 43065-8431
Phone
(614) 618-0017
Fax
(614) 635-9229
NPI assigned
Jun 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Authorized official

Name
Daniel Fosselman, DONPI 1598147092
Title
Physician/Owner
Phone
(614) 499-6863

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4018 N Hampton Dr
Powell, OH 43065-8431

Mailing address

4018 N Hampton Dr
Powell, OH 43065-8431
Phone (614) 618-0017

National Provider Directory

National Provider Directory

Locations

4018 N Hampton Dr
Powell, OH 43065
Phone (614) 568-3585

Practitioners & affiliated clinicians

Practitioners 1

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": "1749600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1932094752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4018 N HAMPTON DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658431",
            "telephone_number": "614-618-0017",
            "fax_number": "614-635-9229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4018 N HAMPTON DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658431",
            "telephone_number": "614-618-0017",
            "fax_number": "614-635-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL INTEGRATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-11",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "FOSSELMAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "614-499-6863",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.