Healthcare Provider Details

I. General information

NPI: 1033204193
Provider Name (Legal Business Name): CENTRAL OHIO EAR NOSE AND THROAT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 COMMERCE PARK DR.
WESTERVILLE OH
43082
US

IV. Provider business mailing address

41 COMMERCE PARK DR.
WESTERVILLE OH
43082
US

V. Phone/Fax

Practice location:
  • Phone: 614-797-3277
  • Fax: 614-794-9136
Mailing address:
  • Phone: 614-797-3277
  • Fax: 614-794-9136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0007X
TaxonomyPlastic Surgery within the Head & Neck (Otolaryngology) Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: DR. CLIFTON R HOOD
Title or Position: PRESIDENT/CEO
Credential: D.O.
Phone: 614-797-3277