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OHIO STATE UNIVERSITY NPI 1801854724


NPI Information

NPI: 1801854724
Provider Name: OHIO STATE UNIVERSITY

Doing Business As: OSU EAST PHYSICIAN SERVICES

Classification: Psychiatry & Neurology - 2084A0401X
Entity Type: Organization

Specialization: Addiction Medicine

CLIA Number: 36D2257717

Address:
181 TAYLOR AVE
COLUMBUS, OH
ZIP 43203
Phone: (614) 257-3760
Get Directions

OHIO STATE UNIVERSITY is an addiction medicine psychiatry neurology in Columbus, OH. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine OHIO STATE UNIVERSITY NPI is 1801854724. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Osu East Physician Services.

The provider's business location address is:

181 TAYLOR AVE
COLUMBUS, OH
ZIP 43203-779
Phone: (614) 257-3760
Fax: (614) 257-3148

The provider's authorized official is Anne Smith .
The authorized official title is Director Corporate Credentialing and has the following contact phone number (614) 293-7444.

The CLIA number assigned to this NPI record is 36D2257717 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2006 and was last updated on 2/2/2017.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineYes

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
12187646MEDICAIDOHIO
2OS9307171MEDICARE 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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