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OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC NPI 1861449407


NPI Information

NPI: 1861449407
Provider Name: OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY, LLC
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 36D2136637

Address:
915 OLENTANGY RIVER RD
SUITE 4000
COLUMBUS, OH
ZIP 43212
Phone: (614) 366-3687
Get Directions

OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY, LLC is an otolaryngology in Columbus, OH. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY, LLC NPI is 1861449407. The provider is registered as an organization entity type.

The provider's business location address is:

915 OLENTANGY RIVER RD
SUITE 4000
COLUMBUS, OH
ZIP 43212-153
Phone: (614) 366-3687
Fax: (614) 293-3193

The provider's authorized official is Mark Inman .
The authorized official title is Business Manager and has the following contact phone number (614) 293-3470.

The CLIA number assigned to this NPI record is 36D2136637 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/28/2006 and was last updated on 4/28/2017.


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
1261QH0700XClinic/CenterHearing and SpeechNo
2207KA0200XAllergy & ImmunologyAllergyNo
3207Y00000XOtolaryngologyYes

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
1OS9357251MEDICARE PINOHIO
25734140001MEDICARE NSC

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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