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

Northeast Family Practice

Organization Family Medicine Physician · NPI 1205019643

Northeast Family Practice is a Family Medicine Physician in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2007.

Licensed in
OH
In the registry since
2007

Practice location Address checks out

6200 Cleveland Ave Ste 101
Columbus, OH 43231-8608
Phone: (614) 898-0150
Fax: (614) 898-0694
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 052152 (OH)

Record details

NPI number1205019643
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Blakely — Physician · (614) 898-0150
NPI enumeratedDecember 7, 2007
Last updated in NPPESApril 20, 2008
Mailing address6200 Cleveland Ave, Suite 101, Columbus, OH 43231-8608

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