Healthcare Provider Details

I. General information

NPI: 1063322568
Provider Name (Legal Business Name): OH INDEPENDENT MEDICAL GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W CHERRY ST
SUNBURY OH
43074-8011
US

IV. Provider business mailing address

3430 OHIOHEALTH PKWY
COLUMBUS OH
43202-1575
US

V. Phone/Fax

Practice location:
  • Phone: 614-639-4606
  • Fax: 380-227-7499
Mailing address:
  • Phone: 614-788-5016
  • Fax: 614-533-0562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SHERRY MORGAN VOET
Title or Position: SENIOR MEDICAL DIRECTOR
Credential:
Phone: 614-566-0197