MAIN STREET FAMILY MEDICINE ,LLC
NPI 1922163575
Family Medicine in Columbus, OH
NPI Status: Active since December 26, 2006
Contact Information
1336 E MAIN ST
COLUMBUS, OH
ZIP 43205
Phone: (614) 253-8537
Fax: (614) 253-8539
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 36D1062944
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 04-21-2026
About MAIN STREET FAMILY MEDICINE ,LLC
This page provides the complete NPI Profile along with additional information for Main Street Family Medicine ,llc, a primary care provider established in Columbus, Ohio operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1922163575 assigned on December 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 35085235 (OH). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Chandre C Gowda M.d. (Physician)
- NPI
- 1922163575
- Provider Name
- MAIN STREET FAMILY MEDICINE ,LLC
- Entity Type
- Organization
- Location Address
- 1336 E MAIN ST COLUMBUS, OH 43205
- Location Phone
- (614) 253-8537
- Location Fax
- (614) 253-8539
- Mailing Address
- 881 E MAIN ST COLUMBUS, OH 43205
- Mailing Phone
- (614) 253-8537
- Mailing Fax
- (614) 253-8539
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-26-2006
- Last Update Date
- 05-14-2015
- Code Navigator
A primary care provider (PCP) like Main Street Family Medicine ,llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35085235
- License State
- OH
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G85183 | MEDICARE UPIN (02) | OH | |
| 2606415 | MEDICAID (05) | OH | |
| 022690LWS | MEDICARE ID-TYPE UNSPECIFIED (04) | OH | MEDICARE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D1062944
- Facility Type
- Physician Office
- Certificate Effective Date
- April 22, 2024
- Certificate Expiration Date
- April 21, 2026
- Laboratory Director
- DR. CHANDRE GOWDA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Main Street Family Medicine ,llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 9 | 2 | 2 | 1 | 6 | 3 | 5 | 7 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 9 | 4 | 2 | 2 | 6 | 6 | 5 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 9 + 4 + 2 + 2 + 6 + 6 + 5 + 1 + 4 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1922163575 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1528002524 | DR. ABDULLAH KHAN MD Individual | Internal Medicine | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 294-7777 |
| 1083075295 | HENRY FORD Individual | Counselor (Addiction (Substance Use Disorder)) | 1336 E MAIN ST COLUMBUS, OH 43205 (646) 327-1000 |
| 1669833588 | MID-ATLANTIC BUREAU OF SOBRIETY AND RECOVERY Organization | Substance Abuse Rehabilitation Facility | 1336 E MAIN ST COLUMBUS, OH 43205 (646) 320-4358 |
| 1174014906 | TODD LAMONT SMITH II Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (567) 312-8700 |
| 1205321684 | FELECIA ANN THOMPSON MS Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1134615842 | TERESSA RODDY CASE MANAGER TAXONOM Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1093201709 | JASMINE L GREGORY Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1619463213 | MONIQUE SCHENELLE GREGORY Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1831685155 | STEPHANIE REESE QMHP Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 927-8439 |
| 1851887186 | MR. FREDERICK JAMES YATES III CASE MANAGER Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1376022731 | JULIAN MILIK BAYLOR Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1508345935 | CHELAISE BURTON Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1780163816 | CARMEN NANTWI LSW Individual | Social Worker | 1336 E MAIN ST COLUMBUS, OH 43205 (565) 312-8700 |
| 1184103277 | MRS. SHA'RONA MARLETT SMITH Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1780163394 | CHAD EMIL TENNANT Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8787 |
| 1033699038 | ANTION JOVAN TURNER Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (419) 609-8279 |
| 1144701715 | CHRISTOPHER S LANE SR. Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1336622299 | TIFFANY KEATING Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1477036366 | ALVIN BUSBEE JR. Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
| 1033694047 | NYCKY FOSSITT Individual | Case Manager/Care Coordinator | 1336 E MAIN ST COLUMBUS, OH 43205 (614) 914-8781 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1922163575, enumerated in the NPI registry as an "organization" on December 26, 2006
The provider is located at 1336 E Main St Columbus, Oh 43205 and the phone number is (614) 253-8537
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 36D1062944 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on December 26, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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