COLUMBUS SOUTHERN MEDICAL GROUP LLC
NPI 1376579755
Family Medicine in Columbus, OH

Q: What is Columbus Southern Medical Group LLC's NPI number?

The NPI number for Columbus Southern Medical Group LLC is 1376579755. It was assigned to this organization in the NPPES registry on June 25, 2006. The provider was formerly known as Dr Gursal LLC.

Q: What is Columbus Southern Medical Group LLC's specialty?

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

Active since June 25, 2006

2912 S HIGH STREET, COLUMBUS, OH 43207(614) 748-2000(614) 748-3000 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Columbus Southern Medical Group Llc NPPES

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

COLUMBUS SOUTHERN MEDICAL GROUP LLC (NPI 1376579755), doing business as Dr Gursal Llc, is a healthcare organization registered as a family medicine in Columbus, Ohio and active in the NPI registry since June 2006. The organization lists Kevin Lake, Doctor, as its authorized official.

NPPES Registry Identity

NPI1376579755

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCOLUMBUS SOUTHERN MEDICAL GROUP LLC

Location Address2912 S HIGH STREETColumbus, OH 43207

Mailing Address2912 S High StreetColumbus, OH 43207 · (614) 748-2000 · Fax (614) 748-3000

Phone(614) 748-2000

Fax(614) 748-3000

Organization SubpartNo

Authorized OfficialKevin LakeDoctor · (614) 748-2000

Enumeration DateJune 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1376579755 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 · OH34005855L

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.

2912 S HIGH STREET, Columbus, OH 43207

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Other Names 1

Former Legal Business NameDr Gursal Llc

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

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 Columbus Southern Medical Group LLC's NPI number?

The NPI number for Columbus Southern Medical Group LLC is 1376579755. It was assigned to this organization in the NPPES registry on June 25, 2006. The provider was formerly known as Dr Gursal LLC.

Where is Columbus Southern Medical Group LLC located?

Columbus Southern Medical Group LLC is located at 2912 S High Street, Columbus, OH 43207. The listed phone number is (614) 748-2000.

What is Columbus Southern Medical Group LLC'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 Columbus Southern Medical Group LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.