Healthcare Provider Details

I. General information

NPI: 1174780977
Provider Name (Legal Business Name): ORTHOPEDIC & NEUROLOGICAL CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2008
Last Update Date: 11/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7450 HOSPITAL DR SUITE 350
DUBLIN OH
43016
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: 614-823-7075
Mailing address:
  • Phone: 614-839-3236
  • Fax: 614-823-7075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. JAMES B. HAMMONDS
Title or Position: CAO
Credential:
Phone: 614-890-6555