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NPI Code Detail

MEDICARE: EAST COLUMBUS ORTHOPEDIC MEDICINE & PAIN CENTER, INC

MEDICARE: EAST COLUMBUS ORTHOPEDIC MEDICINE & PAIN CENTER, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1204C00000XSports Medicine (Neuromusculoskeletal Medicine) Physician34-003198OH

General Provider Information

NPI Number : 1205869088
Entity Type Code : Organization
Provider Name (Legal Business Name) : EAST COLUMBUS ORTHOPEDIC MEDICINE & PAIN CENTER, INC
Provider Business Mailing Address
First Line : 50 MCNAUGHTEN RD
Second Line : SUITE 202
City : COLUMBUS
State : OH
Zip : 43213-2120
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50 MCNAUGHTEN RD
Second Line : SUITE 202
City : COLUMBUS
State : OH
Zip : 43213-2120
Country : US
Telephone Number : 614-759-9761
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : DR. RICHARD MARTIN
Credential : D.O.
Telephone Number : 614-759-9761
Provider Enumeration Date : 07/08/2006
Last Update Date : 07/12/2007

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Directions to “EAST COLUMBUS ORTHOPEDIC MEDICINE & PAIN CENTER, INC ” Practice Location

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