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

Mid Ohio Medical Management, LLC

Organization Family Medicine Physician · NPI 1497916605

Mid Ohio Medical Management, LLC is a Family Medicine Physician in Reynoldsburg, Ohio. Licensed in Ohio. Registered with an NPI since 2008.

Licensed in
OH
In the registry since
2008
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

1755 Lancaster Ave
Reynoldsburg, OH 43068
Phone: (614) 834-7030
Fax: (614) 834-7032
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35086704 (OH)

Record details

NPI number1497916605
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Nichols — Ceo · (614) 834-7030
NPI enumeratedJune 19, 2008
Last updated in NPPESMay 25, 2018
Mailing addressPo Box 513, Pickerington, OH 43147-0513

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