FAMILY PRACTICE WEST INC. NPI 1417337460

NPI Information

NPI: 1417337460
Provider Name: FAMILY PRACTICE WEST, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 36D0866552

Address:
5212 W BROAD ST
COLUMBUS, OH
ZIP 43228
Phone: (614) 878-7285
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FAMILY PRACTICE WEST, INC. is a primary care clinic center in Columbus, OH. FAMILY PRACTICE WEST, INC. NPI is 1417337460. The provider is registered as an organization entity type.

The provider's business location address is:

5212 W BROAD ST
COLUMBUS, OH
ZIP 43228-642
Phone: (614) 878-7285
Fax: (614) 878-1724

The provider's authorized official is Paul R. Gutheil .
The authorized official title is Physician and has the following contact phone number (614) 878-7285.

The CLIA number assigned to this NPI record is 36D0866552 - other practitioner with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/4/2015 and was last updated on 6/4/2015.

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
1	261QP2300X	Clinic/Center	Primary Care	17302 COA-NP	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	A68402	MEDICARE UPIN	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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