Healthcare Provider Details

I. General information

NPI: 1649782095
Provider Name (Legal Business Name): NORTHWEST SURGICAL ASSISTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2017
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N HIGH ST FL 3
COLUMBUS OH
43215-1430
US

IV. Provider business mailing address

800 N HIGH ST FL 3
COLUMBUS OH
43215-1430
US

V. Phone/Fax

Practice location:
  • Phone: 614-325-4876
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number
License Number State

VIII. Authorized Official

Name: ALLISON NICOLE KELCH
Title or Position: RNFA
Credential: RNFA
Phone: 614-325-4876