MEDICARE: OHIOHEALTH CORPORATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	207V00000X	Obstetrics & Gynecology Physician
2	207T00000X	Neurological Surgery Physician
3	207R00000X	Internal Medicine Physician
4	208C00000X	Colon & Rectal Surgery Physician
5	207RC0000X	Cardiovascular Disease Physician
6	207RS0010X	Sports Medicine (Internal Medicine) Physician
7	208M00000X	Hospitalist Physician
8	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
9	207RH0003X	Hematology & Oncology Physician
10	207PS0010X	Sports Medicine (Emergency Medicine) Physician
11	207RP1001X	Pulmonary Disease Physician
12	207LP2900X	Pain Medicine (Anesthesiology) Physician
13	207QG0300X	Geriatric Medicine (Family Medicine) Physician
14	207RG0100X	Gastroenterology Physician
15	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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578545273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIOHEALTH CORPORATION

Provider Business Mailing Address
First Line	:	DEPT L 3652
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43260-3652
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3535 OLENTANGY RIVER RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3908
Country	:	US
Telephone Number	:	614-533-5500
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	LISA JOHNSON
Credential	:
Telephone Number	:	614-533-6502

Provider Enumeration Date	:	11/17/2005
Last Update Date	:	05/04/2026

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Directions to “OHIOHEALTH CORPORATION ” Practice Location

Language	Start Address	Practice Location

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