Healthcare Provider Details

I. General information

NPI: 1619114824
Provider Name (Legal Business Name): EAST COLUMBUS SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2009
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MCNAUGHTEN RD STE 102
COLUMBUS OH
43213-2120
US

IV. Provider business mailing address

50 MCNAUGHTEN RD STE 102
COLUMBUS OH
43213-2128
US

V. Phone/Fax

Practice location:
  • Phone: 614-864-6171
  • Fax: 614-864-7674
Mailing address:
  • Phone: 614-864-6171
  • Fax: 864-864-7674

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: ERICA WEHRMEISTER
Title or Position: OFFICER/AUTHORIZED OFFICIAL
Credential:
Phone: 260-760-9420