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Myungsun Lipthratt, FNP

Nurse Practitioner, Family in Columbus, OH. Individual provider (NPI-1).

NPI number1003395641
StatusActive
Last updated in NPPESAug 13, 2018

Details

NPI
1003395641
Entity type
Individual (NPI-1)
Name
Myungsun Lipthratt
Credential
FNP
Sex
Female
Sole proprietor
No
Enumeration date
Aug 13, 2018
Last updated
Aug 13, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, FamilyAPRN.CNP.023045OHYes

Practice location

5245 E Main St
Columbus, OH 43213-2503

Phone 614-367-1654 · Fax 614-453-8222

Mailing address

5245 E Main St
Columbus, OH 43213-2503

Phone 614-367-1654 · Fax 614-453-8222

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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