Healthcare Provider Details

I. General information

NPI: 1760402135
Provider Name (Legal Business Name): HAND AND MICROSURGERY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/28/2024
Certification Date: 08/28/2024
Deactivation Date: 04/22/2024
Reactivation Date: 05/03/2024

III. Provider practice location address

1210 GEMINI PLACE SUITE 200
COLUMBUS OH
43240-6110
US

IV. Provider business mailing address

1210 GEMINI PLACE SUITE 200
COLUMBUS OH
43240-6110
US

V. Phone/Fax

Practice location:
  • Phone: 614-262-4263
  • Fax: 614-262-0822
Mailing address:
  • Phone: 614-262-4263
  • Fax: 614-262-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0114X
TaxonomyAdult Reconstructive Orthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: SHARON K NELSON
Title or Position: COORDINATOR OF PRACTICE OPERATIONS
Credential:
Phone: 614-324-8162