SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER INC NPI 1669468278

NPI Information

NPI: 1669468278
Provider Name: SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 36D2102589

Address:
7706 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43235
Phone: (614) 436-8888
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SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC is an ambulatory surgical clinic center in Columbus, OH. SULLIVAN PLASTIC AND RECONSTRUCTIVE SURGEY CENTER, INC NPI is 1669468278. The provider is registered as an organization entity type.

The provider's business location address is:

7706 OLENTANGY RIVER RD
COLUMBUS, OH
ZIP 43235-317
Phone: (614) 436-8888
Fax: (614) 436-8847

The provider's authorized official is Michael Sullivan .
The authorized official title is President and has the following contact phone number (614) 436-8888.

The CLIA number assigned to this NPI record is 36D2102589 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2005 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	216 / ID 0317AS	OHIO	Yes

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

NPI Synchronization or Removal

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