Organization Active NPI

Medical and Natural Nutritional Alternatives Inc

  • Addiction Medicine (Family Medicine) Physician
  • Columbus, OH
National Provider Identifier
1942484167
Registry record updated Dec 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
Legal business name
MEDICAL AND NATURAL NUTRITIONAL ALTERNATIVES INC
Practice address
730 Mount Airyshire Blvd a
Columbus, OH 43235-1328
Phone
(614) 848-2600
Fax
(614) 848-3349
NPI assigned
Dec 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2007

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

Authorized official

Name
Larry Stewart Everhart, M.D.
Title
Owner
Phone
(614) 848-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0401X Primary

Addresses

Primary practice location

730 Mount Airyshire Blvd a
Columbus, OH 43235-1328

Mailing address

730 Mount Airyshire Blvd # a
Columbus, OH 43235-1328
Phone (614) 848-2600

National Provider Directory

National Provider Directory

Locations

3779 Attucks Dr
Powell, OH 43065
Phone (614) 718-9800

NPI Registry JSON

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1942484167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 MOUNT AIRYSHIRE BLVD # A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351328",
            "telephone_number": "614-848-2600",
            "fax_number": "614-848-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 MOUNT AIRYSHIRE BLVD A",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432351328",
            "telephone_number": "614-848-2600",
            "fax_number": "614-848-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL AND NATURAL NUTRITIONAL ALTERNATIVES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "EVERHART",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-848-2600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "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 Dec 24, 2007; 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.