Medicare Enrollment Information Individual Name: MOLLY JOSEPH Individual Specialty: NURSE PRACTITIONER Individual National Provider Identifier (NPI): 1396380077 Individual Provider Transaction Access Number (PTAN): 1Q8323 Group Legal Business Name (LBN): COLUMBUS URGENT CARE PA Group NPI: 1215330501 Group PTAN: 399951 Reassignment Effective Date: MAY 01, 2021 Changed Information: N/A