| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1124347091 | DANIEL | RANDY | A | 5100 W BROAD STREET | COLUMBUS | OH | 432281607 | |
| 1962778282 | FROMMELT | CHARLES | JOSEPH | 5100 W BROAD ST | COLUMBUS | OH | 432281607 | |
| 1326347527 | HOLBROOK | NATHAN | 5100 W BROAD ST | COLUMBUS | OH | 432281607 | ||
| 1538468848 | PACITTI | ANDREW | PETER | 5100 W BROAD ST | COLUMBUS | OH | 432281607 |