MEDICARE: OHIO ORTHOPEDIC SURGERY INSTITUTE LLC

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
1	261QA1903X	Ambulatory Surgical Clinic/Center	0712AS	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00085241	OTHER	OH	MEDICARE RAILROAD ASC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000000282681	OTHER	OH	ANTHEM ASC PROVIDER NUMBE
2	200894000	OTHER	OH	DEPT OF LABOR ASC
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285639062
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO ORTHOPEDIC SURGERY INSTITUTE LLC

Provider Business Mailing Address
First Line	:	PO BOX 633607
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-3607
Country	:	US
Telephone Number	:	614-827-8777
Fax Number	:	614-488-7864

Provider Business Practice Location Address
First Line	:	4605 SAWMILL RD
Second Line	:	STE 101
City	:	COLUMBUS
State	:	OH
Zip	:	43220-2246
Country	:	US
Telephone Number	:	614-827-8777
Fax Number	:	614-488-7864

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. LYNN B SAUL
Credential	:	RN
Telephone Number	:	614-827-8777

Provider Enumeration Date	:	06/17/2005
Last Update Date	:	12/08/2020

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Directions to “OHIO ORTHOPEDIC SURGERY INSTITUTE LLC ” Practice Location

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