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Contact Information

OMNIA MEDICAL GROUP LLC
65 HIGHVIEW BLVD STE 101A
COLUMBUS, OH43207-6065
 Phone: 614-587-7778
 Fax: 740-212-8808
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction (Substance Use Disorder)

163WA0400X
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

261QP2300X
 

Primary Care

363LP2300X 50 Nurse Practitioner
 

Research

261QR1100X
Indicates primary specialty

NPI Profile & details for OMNIA MEDICAL GROUP LLC · (Female)

NPI Number 1073212627
Status Active
Credentials
Entity Individual
Enumeration date 03/02/2023
Last updated 01/02/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0308873
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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