Healthcare Provider Details

I. General information

NPI: 1730347873
Provider Name (Legal Business Name): ANTHONY S. NERI, M.D. INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 06/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 E LIVINGSTON AVE
COLUMBUS OH
43227-2219
US

IV. Provider business mailing address

3500 E LIVINGSTON AVE
COLUMBUS OH
43227-2219
US

V. Phone/Fax

Practice location:
  • Phone: 614-237-3000
  • Fax: 614-237-2154
Mailing address:
  • Phone: 614-237-3000
  • Fax: 614-237-2154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number35070764T
License Number StateOH

VIII. Authorized Official

Name: MARLA M BALDWIN
Title or Position: BUSINESS MANAGER
Credential:
Phone: 614-237-3000