Mid Ohio Medical Management,Llc

LBN: Mid Ohio Medical Management,Llc
Mid Ohio Medical Management,Llc is an health care organization with primary practice located at 1755 Lancaster Ave , Reynoldsburg OH 43068. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Mid Ohio Medical Management,Llc can be contacted via phone (614) 834-7030, or through Nichols, Gina Marie via phone (614) 834-7030.

Contact Information

Primary practice address
1755 Lancaster Ave Reynoldsburg OH 43068
Fax: (614) 834-7032
Website:
Authorized official contact:
Name: Nichols, Gina Marie Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35086704 Ohio

Profile Details

NPI number 1497916605
LBN Legal business name Mid Ohio Medical Management,Llc
DBA Doing business as
Authorized official Nichols, Gina Marie Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2008
Last updated May 25th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497916605 NPPES
Ohio MEDICAID 2611267

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