Healthcare Provider Details

I. General information

NPI: 1386675544
Provider Name (Legal Business Name): AMERICAN HEALTH NETWORK OF OHIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

680 BUCKLES CT N STE 1A
COLUMBUS OH
43230-6928
US

IV. Provider business mailing address

680 BUCKLES CT N STE 1A
COLUMBUS OH
43230-6928
US

V. Phone/Fax

Practice location:
  • Phone: 614-986-0125
  • Fax: 614-237-1646
Mailing address:
  • Phone: 614-986-0125
  • Fax: 614-237-1646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MR. BRAD A COURTER
Title or Position: VP OPERATIONS OHIO
Credential:
Phone: 614-794-5053