NPIMap

Organization Active NPI

Complete Healthcare for Women Inc.

Doing business as Complete Healthcare for Women

  • Addiction Medicine (Preventive Medicine) Physician
  • Columbus, OH
National Provider Identifier
1992357354
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
Legal business name
COMPLETE HEALTHCARE FOR WOMEN INC.
Doing business as
Complete Healthcare for Women
Practice address
5888 Cleveland Ave
Columbus, OH 43231-2860
Phone
(614) 882-4343
Fax
(614) 882-4664
NPI assigned
Jul 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Authorized official

Name
Milroy J Samuel
Title
MD
Phone
(614) 882-4343

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083A0300X Primary

Addresses

Primary practice location

5888 Cleveland Ave
Columbus, OH 43231-2860

Mailing address

5888 Cleveland Ave
Columbus, OH 43231-2860
Phone (614) 882-4343

Other practice location 1

670 Hill Rd N
Pickerington, OH 43147-9201
Phone (614) 882-4343

Other identifiers 1

IdentifierTypeStateIssuer
2222339MedicaidOH

Other names 1

  • Complete Healthcare for Women Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Opioid treatment program
Medicare-enrolled since Feb 13, 2021

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210527002516 OH Part B Supplier - Opioid Treatment Program (Otp) 8820034788 Practice locations: Columbus, OH; Pickerington, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2061560Complete Healthcare for Women Inc670 Hill Rd N, Room 1, Pickerington, OH 43147Provider-performed microscopyJun 30, 2027

National Provider Directory

National Provider Directory
Tax ID family
Complete Healthcare for3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1255 Parsons Ave
Columbus, OH 43206

5888 Cleveland Ave
Columbus, OH 43231
Phone (614) 600-2979

1493 Parsons Ave
Columbus, OH 43207
Phone (614) 444-1040

118 W High St
London, OH 43140

127 W Church St
Marion, OH 43302

18 S 6th St
Newark, OH 43055

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1563148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563148800000",
    "number": "1992357354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5888 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312860",
            "telephone_number": "614-882-4343",
            "fax_number": "614-882-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312860",
            "telephone_number": "614-882-4343",
            "fax_number": "614-882-4664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Hill Rd N",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431479201",
            "country_code": "US",
            "telephone_number": "614-882-4343",
            "fax_number": "614-882-4664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMPLETE HEALTHCARE FOR WOMEN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-15",
        "last_updated": "2019-07-15",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "MILROY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "614-882-4343"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2222339",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Healthcare for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.