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 provides Family Medicine Physician services 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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