Healthcare Provider Details

I. General information

NPI: 1003098823
Provider Name (Legal Business Name): COLUMBUS ALLERGY PHYSICIANS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 CHATHAM LN STE 215
COLUMBUS OH
43221-2416
US

IV. Provider business mailing address

941 CHATHAM LN STE 215
COLUMBUS OH
43221-2416
US

V. Phone/Fax

Practice location:
  • Phone: 614-267-9263
  • Fax: 614-267-2755
Mailing address:
  • Phone: 614-267-9263
  • Fax: 614-267-2755

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number35035513C
License Number StateOH

VIII. Authorized Official

Name: MRS. CHERYL A SHOMAN
Title or Position: OFFICE MANAGER
Credential:
Phone: 614-267-9263