MEDICARE: COLUMBUS GYNECOLOGY AND WOMEN'S HEALTH, PC

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	207V00000X	Obstetrics & Gynecology Physician	20571	NE

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

General Provider Information

NPI Number	:	1164471249
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBUS GYNECOLOGY AND WOMEN'S HEALTH, PC

Provider Business Mailing Address
First Line	:	2485 39TH AVE
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-2256
Country	:	US
Telephone Number	:	402-563-0123
Fax Number	:	402-563-3229

Provider Business Practice Location Address
First Line	:	2485 39TH AVE
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-2256
Country	:	US
Telephone Number	:	402-563-0123
Fax Number	:	402-563-3229

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HARRY DIETER MUELLER
Credential	:	MD
Telephone Number	:	402-563-0123

Provider Enumeration Date	:	05/08/2006
Last Update Date	:	08/12/2009

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