LEGACY MEDICAL NETWORK LLC NPI 1073075438

NPI Information

  • NPI: 1073075438
  • Provider Name: LEGACY MEDICAL NETWORK LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 5797 BEECHCROFT RD STE F
    COLUMBUS, OH
    ZIP 43229
  • Phone: (614) 377-0268

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NPI Details

LEGACY MEDICAL NETWORK LLC is a family nurse practitioner in Columbus, OH. LEGACY MEDICAL NETWORK LLC NPI is 1073075438. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5797 BEECHCROFT RD STE F
COLUMBUS, OH
ZIP 43229-758
Phone: (614) 377-0268

The provider's authorized official is Joseph Konika .
The authorized official title is President and has the following contact phone number (614) 458-8283.

The enumeration date for this NPI number is 4/4/2019 and was last updated on 6/11/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered NurseNo
2261Q00000XClinic/CenterNo
3261QH0100XClinic/CenterHealth ServiceNo
4261QP2300XClinic/CenterPrimary CareNo
5261QS1000XClinic/CenterStudent HealthNo
6261QU0200XClinic/CenterUrgent CareNo
7363L00000XNurse PractitionerNo
8363LF0000XNurse PractitionerFamilyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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