Healthcare Provider Details

I. General information

NPI: 1245279744
Provider Name (Legal Business Name): AMERICAN HEALTH NETWORK OF OHIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

85 COMMERCE PARK DR
WESTERVILLE OH
43082-8348
US

IV. Provider business mailing address

85 COMMERCE PARK DR
WESTERVILLE OH
43082-8348
US

V. Phone/Fax

Practice location:
  • Phone: 614-882-2397
  • Fax: 614-898-5999
Mailing address:
  • Phone: 614-882-2397
  • Fax: 614-898-5999

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

VIII. Authorized Official

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