OSU INTERNAL MEDICINE, LLC
Complete NPI Record 1740231448
Internal Medicine in Columbus, OH

Complete NPI Dataset

This page represents the complete record for NPI 1740231448. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1740231448

The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.

Entity Type Code: 2

Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).

Employer Identification Number EIN: UNAVAIL

The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.

Provider Organization Name Legal Business Name: OSU INTERNAL MEDICINE, LLC

The name of the organization provider. If the provider is an organization, this is the legal business name.

Provider First Line Business Mailing Address: 700 ACKERMAN RD STE 2120

The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".

Provider Business Mailing Address City Name: COLUMBUS

The city name in the mailing address of the provider being identified.

Provider Business Mailing Address State Name: OH

The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".

Provider Business Mailing Address Postal Code: 432021559

The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".

Provider Business Mailing Address Country Code If outside U S : US

The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".

Provider First Line Business Practice Location Address: 410 W 10TH AVE

The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Business Practice Location Address City Name: COLUMBUS

The city name in the location address of the provider being identified.

Provider Business Practice Location Address State Name: OH

The State code in the location of the provider being identified.

Provider Business Practice Location Address Postal Code: 432101240

The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.

Provider Business Practice Location Address Country Code If outside U S : US

The country code in the location address of the provider being identified.

Provider Business Practice Location Address Telephone Number: 6142938000

The telephone number associated with the location address of the provider being identified.

Provider Enumeration Date: 5/15/2006

The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date: 7/23/2025

The date that a record was last updated or changed.

Authorized Official Last Name: HENSLEY

The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.

Authorized Official First Name: JAMI

The first name of the authorized official.

Authorized Official Title or Position: ADMINISTRATIVE DIRECTOR

The title or position of the authorized official.

Authorized Official Telephone Number: 6142932229

The 10-position telephone number of the authorized official.

Healthcare Provider Taxonomy Code 1: 207N00000X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 1: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 2: 207RA0201X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 2: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 3: 207RC0000X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 3: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 4: 207RE0101X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 4: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 5: 207RG0100X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 5: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 6: 207RH0003X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 6: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 7: 207RI0200X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 7: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 8: 207RN0300X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 8: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 9: 207RP1001X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 9: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 10: 207T00000X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 10: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 11: 207X00000X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 11: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 12: 207XX0005X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 12: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 13: 208100000X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 13: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 14: 2084N0400X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 14: N

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Healthcare Provider Taxonomy Code 15: 207R00000X

This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.

Healthcare Provider Primary Taxonomy Switch 15: Y

This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.

Is Organization Subpart: N

Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.

Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 6: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 7: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 8: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 9: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 10: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 11: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 12: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 13: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 14: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

Healthcare Provider Taxonomy Group 15: 193200000X MULTI-SPECIALTY GROUP

Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.

NPI Certification Date: 7/23/2025

The date on which the National Provider Identifier (NPI) was officially assigned and certified to the provider. This reflects when the provider's NPI record first became active in the NPPES system.