MEDICARE: METROPOLITAN SURGERY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	35052450	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043278633
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN SURGERY, INC

Provider Business Mailing Address
First Line	:	P.O. BOX 711973
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45271-0001
Country	:	US
Telephone Number	:	614-222-8000
Fax Number	:	614-222-6280

Provider Business Practice Location Address
First Line	:	777 W STATE ST
Second Line	:	SUITE 501
City	:	COLUMBUS
State	:	OH
Zip	:	43222-1536
Country	:	US
Telephone Number	:	614-222-8000
Fax Number	:	614-222-6280

Authorized Official
Title or Position	:	PHYSICIAN/VICE PRESIDENT
Name	:	DONALD EUGENE HURA
Credential	:	M.D.
Telephone Number	:	614-222-8000

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	11/12/2007

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Directions to “METROPOLITAN SURGERY, INC ” Practice Location

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