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GRANTRIVERSIDE MEDICAL CARE FOUNDATION INC NPI 1205909561


NPI Information

NPI: 1205909561
Provider Name: GRANTRIVERSIDE MEDICAL CARE FOUNDATION, INC

Doing Business As: OHIOHEALTH PRACTICE MANAGEMENT SERVICES

Classification: Urology - 208800000X
Entity Type: Organization
Address:
3545 OLENTANGY RIVER RD
STE 501
COLUMBUS, OH
ZIP 43214
Phone: (614) 566-2714
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GRANTRIVERSIDE MEDICAL CARE FOUNDATION, INC is an urology in Columbus, OH. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. GRANTRIVERSIDE MEDICAL CARE FOUNDATION, INC NPI is 1205909561. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ohiohealth Practice Management Services.

The provider's business location address is:

3545 OLENTANGY RIVER RD
STE 501
COLUMBUS, OH
ZIP 43214-907
Phone: (614) 566-2714
Fax: (614) 566-2712

The provider's authorized official is Mark Wuestewald .
The authorized official title is Director and has the following contact phone number (614) 566-5643.

The enumeration date for this NPI number is 11/16/2006 and was last updated on 7/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207VG0400XObstetrics & GynecologyGynecologyNo
2208800000XUrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PENDINGMEDICAIDOHIO
2GR9355343MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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