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NORTHEAST FAMILY PRACTICE
NPI 1205019643
Family Medicine in Columbus, OH

Active since December 07, 2007
6200 CLEVELAND AVE, SUITE 101, COLUMBUS, OH 43231(614) 898-0150(614) 898-0694 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Northeast Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST FAMILY PRACTICE (NPI 1205019643) is a healthcare organization registered as a family medicine in Columbus, Ohio and active in the NPI registry since December 2007. The organization lists Keith Allen Blakely, Physician, as its authorized official.

NPPES Registry Identity

NPI1205019643
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHEAST FAMILY PRACTICE
Location Address6200 CLEVELAND AVE, SUITE 101Columbus, OH 43231-8608
Mailing Address6200 Cleveland Ave, Suite 101Columbus, OH 43231-8608 · (614) 898-0150 · Fax (614) 898-0694
Phone(614) 898-0150
Fax(614) 898-0694
Organization SubpartNo
Authorized OfficialKeith Allen BlakelyPhysician · (614) 898-0150
Enumeration DateDecember 7, 2007
Last NPPES UpdateApril 20, 2008
✔ NPI 1205019643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 052152
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6200 CLEVELAND AVE, Columbus, OH 43231
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Other Identifiers 1

Medicare PIN9300991OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES B WILGUS P.T.
Physical Therapist
6200 CLEVELAND AVE
COLUMBUS, OH 43231
Franklin County (614) 566-0566
MOUNT CARMEL HEALTH PROVIDERS INC
Family Medicine
6200 CLEVELAND AVE, SUITE 101
COLUMBUS, OH 43231
Franklin County (614) 898-0150
PATRICK F SERYNEK DO
Orthopaedic Surgery
6200 CLEVELAND AVE, SUITE 100
COLUMBUS, OH 43231
Franklin County (614) 895-8747
DR. MELISSA A. DINE D.O.
General Practice
6200 CLEVELAND AVE, SUITE 101
COLUMBUS, OH 43231
Franklin County (614) 898-0150
ROMAN KOVAC DO
Family Medicine
6200 CLEVELAND AVE
COLUMBUS, OH 43231
Franklin County (614) 566-0602
MRS. TARA MARIE CLARK MPT
Physical Therapist
6200 CLEVELAND AVE
COLUMBUS, OH 43231
Franklin County (161) 456-6068
CLEVELAND AVENUE URGENT CARE INC
Clinic/Center (Urgent Care)
6200 CLEVELAND AVE
COLUMBUS, OH 43231
Franklin County (614) 566-0590

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northeast Family Practice's NPI number?

The NPI number for Northeast Family Practice is 1205019643. It was assigned to this organization in the NPPES registry on December 7, 2007.

Where is Northeast Family Practice located?

Northeast Family Practice is located at 6200 Cleveland Ave Suite 101, Columbus, OH 43231. The listed phone number is (614) 898-0150.

What is Northeast Family Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Northeast Family Practice was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.