Healthcare Provider Details

I. General information

NPI: 1043597909
Provider Name (Legal Business Name): ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2011
Last Update Date: 08/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

94 N HIGH ST SUITE 200
DUBLIN OH
43017-1169
US

IV. Provider business mailing address

70 S CLEVELAND AVE
WESTERVILLE OH
43081-1397
US

V. Phone/Fax

Practice location:
  • Phone: 614-890-6555
  • Fax: 614-823-8881
Mailing address:
  • Phone: 614-890-6555
  • Fax: 614-823-8881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PS0010X
TaxonomySports Medicine (Emergency Medicine) Physician
License Number34.008175
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34.008175
License Number StateOH

VIII. Authorized Official

Name: DR. FRANK J. O'DONNELL
Title or Position: PRESIDENT
Credential: DO
Phone: 614-890-6555