Healthcare Provider Details

I. General information

NPI: 1841310216
Provider Name (Legal Business Name): MUSCULOSKELETAL MEDICAL SPECIALISTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2007
Last Update Date: 08/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 EAST MAIN STREET SUITE 230
COLUMBUS OH
43215-5369
US

IV. Provider business mailing address

500 EAST MAIN STREET SUITE 230
COLUMBUS OH
43215-5369
US

V. Phone/Fax

Practice location:
  • Phone: 614-464-4667
  • Fax: 614-469-5099
Mailing address:
  • Phone: 614-464-4667
  • Fax: 614-469-5099

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35051114
License Number StateOH

VIII. Authorized Official

Name: DR. JOSEPH FLOOD
Title or Position: PHYSICIAN PRESIDENT
Credential: MD
Phone: 614-464-4667