Healthcare Provider Details

I. General information

NPI: 1144936477
Provider Name (Legal Business Name): CENTRAL OHIO WOUND CARE SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1987 FRALEY DR
COLUMBUS OH
43235-7542
US

IV. Provider business mailing address

PO BOX 1554
REYNOLDSBURG OH
43068-6554
US

V. Phone/Fax

Practice location:
  • Phone: 216-509-7846
  • Fax:
Mailing address:
  • Phone: 216-509-7846
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP1100X
TaxonomyPodiatric Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIC CHRISTOPHER ANDERSON
Title or Position: PHYSICIAN/OWNER
Credential: DPM
Phone: 216-509-7846