OrganizationActive
Gahanna Medical Practices Inc
NPI 1275603722 · Family Medicine Physician · Gahanna, OH
Provider details
- NPI number
- 1275603722
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Susan Lake, Physician(614) 428-8200
- License
- 34005856 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4550 N Hamilton Rd
Gahanna, OH 43230
Phone: (614) 428-8200
Fax: (614) 428-9700
Approximate (ZIP-level) locationGet directions
Mailing address
4550 N Hamilton Rd
Gahanna, OH 43230
Registry dates
- Enumerated
- 2006-11-09
- Last updated
- 2012-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.