Individual provider Active NPI

Romia Kamgang

  • Family Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1962805853
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0027536 Issued in OH
Practice address
3708 Farnsworth House
Columbus, OH 43219-3140
Phone
(614) 477-2521
NPI assigned
Oct 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 0027536 OH Primary
Registered Nurse 163W00000X RN394733 OH

Addresses

Primary practice location

3708 Farnsworth House
Columbus, OH 43219-3140

Mailing address

621 Preston Trails Dr
Pickerington, OH 43147-2111
Phone (614) 756-8402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN394733OHMDRegistered Nurse
0027536OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reliance Health Clinic, LLP Single Specialty Current Accepting new patients

Locations

5320 E Main St
Ste 200
Whitehall, OH 43213
Phone (614) 804-6369

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1962805853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 PRESTON TRAILS DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431472111",
            "telephone_number": "614-756-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 FARNSWORTH HOUSE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193140",
            "telephone_number": "614-477-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMGANG",
        "first_name": "ROMIA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-06",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0027536",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN394733",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.