Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Central Ohio Primary Care Physicians Specialty Services LLC

Organization Family Medicine Physician · NPI 1104972330

Central Ohio Primary Care Physicians Specialty Services LLC is a Family Medicine Physician in Columbus, Ohio. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
9
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4885 Olentangy River Rd
Columbus, OH 43214-1926
Phone: (614) 451-9229
Fax: (614) 451-0981
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Infectious Disease Physician Taxonomy 207RI0200X
Magnetic Resonance Imaging (MRI) Internal Medicine Physician Taxonomy 207RM1200X
Pediatrics Physician Taxonomy 208000000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X
Diagnostic Ultrasound Physician Taxonomy 2085U0001X

Record details

NPI number1104972330
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Wulf — Chief Executive Officer · (614) 865-8011
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJanuary 23, 2014
Mailing address570 Polaris Pkwy, Suite 250, Westerville, OH 43082-7900

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