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

Independent Provider

Organization Preferred Provider Organization · NPI 1023423571

Independent Provider is a Preferred Provider Organization in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2014.

Licensed in
OH
In the registry since
2014

Practice location Address checks out

3664 Larkwell Way
Columbus, OH 43232-3611
Phone: (614) 571-5191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 2870880 (OH)

Record details

NPI number1023423571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasshia Lee — Independent Provider · (614) 571-5191
Other names Independent Provider
NPI enumeratedJune 24, 2014
Last updated in NPPESJune 24, 2014
Mailing address3664 Larkwell Way, Columbus, OH 43232

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