Provider Demographics
NPI:1972481984
Name:ELEVATE MEDICAL GROUP
Entity type:Organization
Organization Name:ELEVATE MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROLLANDINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-296-8919
Mailing Address - Street 1:11293 WINTERBERRY DR
Mailing Address - Street 2:
Mailing Address - City:PLAIN CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43064-9392
Mailing Address - Country:US
Mailing Address - Phone:614-296-8919
Mailing Address - Fax:
Practice Address - Street 1:6425 POST RD STE 101
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-1215
Practice Address - Country:US
Practice Address - Phone:614-760-5555
Practice Address - Fax:614-760-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty