MEDICARE: AMERICAN HEALTH NETWORK OF OHIO, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245279744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEALTH NETWORK OF OHIO, LLC

Provider Business Mailing Address
First Line	:	85 COMMERCE PARK DR
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-8348
Country	:	US
Telephone Number	:	614-882-2397
Fax Number	:	614-898-5999

Provider Business Practice Location Address
First Line	:	85 COMMERCE PARK DR
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-8348
Country	:	US
Telephone Number	:	614-882-2397
Fax Number	:	614-898-5999

Authorized Official
Title or Position	:	VP OPERATIONS OHIO
Name	:	MR. BRAD A COURTER
Credential	:
Telephone Number	:	614-794-5053

Provider Enumeration Date	:	06/06/2006
Last Update Date	:	01/29/2026

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