Optimed Infusion LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

35054381 Issued in OH

Legal business name

OPTIMED INFUSION LLC

Practice address

8080 Ravines Edge CT
Ste 200
Columbus, OH 43235-5424

Phone

(614) 430-8022

Fax

(614) 430-8025

NPI assigned

Feb 27, 2007

Last updated

Sep 25, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald L McNeil, MDNPI 1134199300

Title

President

Phone

(614) 430-8022

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Optimed Research LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Tax ID family

Optimed Infusion LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Optimed Infusion LLC

  dba optimed infusion llc DBA optimed laboratory

  • Infusion Therapy Clinic/Center
  • Columbus, OH
  • NPI 1992256119
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Optimed Infusion LLC

  dba optimed infusion llc DBA optimed laboratory

  • Infusion Therapy Clinic/Center
  • Columbus, OH
  • NPI 1992256119
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald L McNeil, MD

  • Allergy & Immunology Physician
  • Columbus, OH
  • NPI 1134199300
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348531200000",
    "number": "1972630168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8080 RAVINES EDGE CT",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355424",
            "telephone_number": "614-430-8022",
            "fax_number": "614-430-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 RAVINES EDGE CT",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432355424",
            "telephone_number": "614-430-8022",
            "fax_number": "614-430-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMED INFUSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2012-09-25",
        "status": "A",
        "authorized_official_last_name": "MCNEIL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-430-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35054381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2370287",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1134199300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimed Research LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Columbus, OH
• Providers in Columbus, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.