Provider Type Icon

OSU INTERNAL MEDICINE LLC NPI 1427127919


NPI Information

NPI: 1427127919
Provider Name: OSU INTERNAL MEDICINE, LLC

Doing Business As: STONERIDGE ENDOSCOPY CENTER

Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

CLIA Number: 36D0706301

Address:
3900 STONERIDGE LN
DUBLIN, OH
ZIP 43017
Phone: (614) 889-5001
Get Directions

OSU INTERNAL MEDICINE, LLC is an endoscopy clinic center in Dublin, OH. OSU INTERNAL MEDICINE, LLC NPI is 1427127919. The provider is registered as an organization entity type.
The provider Is Doing Business As Stoneridge Endoscopy Center.

The provider's business location address is:

3900 STONERIDGE LN
DUBLIN, OH
ZIP 43017-009
Phone: (614) 889-5001

The provider's authorized official is Kimberly Ann Clouse .
The authorized official title is Manager, Provider Enrollment and has the following contact phone number (614) 685-4601.

The CLIA number assigned to this NPI record is 36D0706301 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 5/19/2023.


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
1261QE0800XClinic/CenterEndoscopyYes

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
10967799MEDICAIDOHIO

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.