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HEALTHSERVE MEDICAL GROUP LLC NPI 1821422486


NPI Information

NPI: 1821422486
Provider Name: HEALTHSERVE MEDICAL GROUP LLC
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2939 KENNY RD STE 200
COLUMBUS, OH
ZIP 43221
Phone: (614) 442-2431
Get Directions

HEALTHSERVE MEDICAL GROUP LLC is a geriatric medicine family medicine in Columbus, OH. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. HEALTHSERVE MEDICAL GROUP LLC NPI is 1821422486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2939 KENNY RD STE 200
COLUMBUS, OH
ZIP 43221-406
Phone: (614) 442-2431
Fax: (614) 442-2426

The provider's authorized official is Michael Bourland .
The authorized official title is Ceo and has the following contact phone number (614) 442-2431.

The enumeration date for this NPI number is 8/30/2013 and was last updated on 11/7/2013.


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
1207QG0300XFamily MedicineGeriatric MedicineYes

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
11535531OTHEROHIOSTATE REGISTRATION

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: 5/5/2024

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