MOUNT CARMEL
NPI 1720407455
Student in an Organized Health Care Education/Training Program in Westerville, OH

Active since April 09, 2014CLIA Certified · 2 labs
477 COOPER RD, SUITE 300, WESTERVILLE, OH 43081(614) 898-8714 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mount Carmel NPPES

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

MOUNT CARMEL (NPI 1720407455) is a healthcare organization registered as a student in an organized health care education/training program in Westerville, Ohio and active in the NPI registry since April 2014. The organization holds 2 active CLIA laboratory certificates and lists Dorain Smith, Program Administrator, as its authorized official.

NPPES Registry Identity

NPI1720407455
Entity TypeOrganization
Primary Taxonomy390200000X
Legal Business NameMOUNT CARMEL
Location Address477 COOPER RD, SUITE 300Westerville, OH 43081-8053
Mailing Address793 W State StColumbus, OH 43222-1551
Organization SubpartYesParent: Trinity
Authorized OfficialDorain SmithProgram Administrator · (614) 898-8714
Enumeration DateApril 9, 2014
NPI 1720407455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

477 COOPER RD, Westerville, OH 43081

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

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D0856658

Mount Carmel Street Medicine · Columbus, OH
Active · expires Mar 9, 2028
CLIA Number36D0856658
Laboratory TypeMobile Laboratory
Certificate Effective DateMarch 10, 2026
Certificate Expiration DateMarch 9, 2028
Laboratory DirectorRyan M. Cantzler
Laboratory Phone(614) 234-4718
Laboratory LocationMount Carmel Street Medicine777 W State St Suite 125, Columbus, OH 43222
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 36D2160904

Mount Carmel Franklinton Emergency · Columbus, OH
Active · expires Jan 7, 2028
CLIA Number36D2160904
Laboratory TypeHospital
Certificate Effective DateJanuary 8, 2026
Certificate Expiration DateJanuary 7, 2028
Laboratory DirectorDr. Stephanie D. Johnson
Laboratory Phone(614) 234-4863
Laboratory LocationMount Carmel Franklinton Emergency120 South Green Street, Columbus, OH 43222
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
477 COOPER RD, STE 400
WESTERVILLE, OH 43081
Otolaryngology
477 COOPER RD, SUITE 480
WESTERVILLE, OH 43081
Urology
477 COOPER RD, STE 220
WESTERVILLE, OH 43081
Family Medicine
477 COOPER RD, 200
WESTERVILLE, OH 43081
Surgery
477 COOPER RD, SUITE 440
WESTERVILLE, OH 43081
Family Medicine
477 COOPER RD, SUITE 300
WESTERVILLE, OH 43081
Surgery
477 COOPER RD, SUITE 310
WESTERVILLE, OH 43081
Obstetrics & Gynecology
477 COOPER RD, SUITE150
WESTERVILLE, OH 43081

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720407455, enumerated as an "organization" on April 09, 2014.

The provider is located at 477 COOPER RD SUITE 300 WESTERVILLE, OH 43081 and the phone number is (614) 898-8714.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.