MEDICARE: NOEL N EBOH MD

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	207T00000X	Neurological Surgery Physician	35044038E	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	140004259	OTHER		TRAVELERS MEDICARE
4	0465301	OTHER		PALMETTO MEDICARE

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
3	311098079	OTHER		PPO NEXT
5	353077	OTHER		SUBMITTER NO
6	311098079069	OTHER		CIGNA
7	0600018	OTHER		UHC
8	311098079	OTHER		TAX ID
9	311098079	OTHER		TAXID E
10	646717	OTHER		AETNA
11	000000118446	OTHER	OH	ANTHEM
12	311098079	OTHER		TAX ID PHYSICIANS NONPHYS

General Provider Information

NPI Number	:	1164480851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOEL N EBOH MD

Provider Business Mailing Address
First Line	:	# L-3549
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43260-0001
Country	:	US
Telephone Number	:	740-383-7927
Fax Number	:	740-383-7942

Provider Business Practice Location Address
First Line	:	1040 DELAWARE AVENUE
Second Line	:
City	:	MARION
State	:	OH
Zip	:	43301-1814
Country	:	US
Telephone Number	:	740-383-7950
Fax Number	:	740-383-7087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2006
Last Update Date	:	11/28/2012

Similar Medicare Providers

1972565349 — ELENA ABIAD SUTHERLAND LISW
Practice Location Address:

1040 DELAWARE AVE
MARION, OH
43301-1814

Practice Phone: 740-383-7910
Practice Fax: 740-375-8129

1851358949 — HENA KUNDRA MD
Practice Location Address:

1040 DELAWARE AVENUE
MARION, OH
43301-1814

Practice Phone: 740-383-7000
Practice Fax: 740-383-7942

1679531388 — SAMIR S ISKANDER MD
Practice Location Address:

1040 DELAWARE AVENUE
MARION, OH
43301-1814

Practice Phone: 740-383-8047
Practice Fax: 740-383-7942

1215995758 — CRAIG S THOMPSON MD
Practice Location Address:

1040 DELAWARE AVENUE
MARION, OH
43301-1814

Practice Phone: 740-383-7831
Practice Fax: 740-375-8137

1447218011 — STEVEN LEE MD
Practice Location Address:

1040 DELAWARE AVENEUE
MARION, OH
43301-1814

Practice Phone: 740-383-8090
Practice Fax: 740-383-7079

1518925072 — WALTER JONATHAN FRIEDLEY MD
Practice Location Address:

1040 DELAWARE AVENEUE
MARION, OH
43301-1814

Practice Phone: 740-383-8090
Practice Fax: 740-375-6481

Directions to “ NOEL N EBOH MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.