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CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC NPI 1194965699


NPI Information

NPI: 1194965699
Provider Name: CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC

Former Legal Business Name: CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
55 DILLMONT DR
SUITE 100
COLUMBUS, OH
ZIP 43235
Phone: (614) 839-3040
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CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC is a specialist in Columbus, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC NPI is 1194965699. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Central Ohio Pediatric Endocrinology & Diabetes Serv Llc.

The provider's business location address is:

55 DILLMONT DR
SUITE 100
COLUMBUS, OH
ZIP 43235-458
Phone: (614) 839-3040
Fax: (614) 839-3041

The provider's authorized official is William Byron Zipf .
The authorized official title is Medical Director and has the following contact phone number (614) 839-3040.

The enumeration date for this NPI number is 2/24/2009 and was last updated on 11/19/2014.


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
1174400000XSpecialistOHIOYes

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
1A79972OTHERUPIN
2E21314OTHERUPIN
30373760MEDICAIDOHIO
4CE9314531OTHEROHIOMEDICARE GROUP
52044488MEDICAIDOHIO
6Z10493253OTHEROHIOMEDICARE INDIVIDUAL

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: 11/14/2023

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