=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467865147
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WORST DAY EVER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/10/2014
-----------------------------------------------------
Last Update Date | 04/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 477 COOPER RD STE 440
-----------------------------------------------------
City | WESTERVILLE
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43081-8055
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 380-898-5561
-----------------------------------------------------
Fax | 380-898-5563
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 3250
-----------------------------------------------------
City | WINCHESTER
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22604-2450
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 540-678-3588
-----------------------------------------------------
Fax | 504-678-9025
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. DAVID R GIAMMAR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 614-353-3000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208C00000X
-----------------------------------------------------
Taxonomy Name | Colon & Rectal Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------