MEDICARE: OHIO PULMONARY & SLEEP CONSULTANTS, 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	174400000X	Specialist	34043056	OH

General Provider Information

NPI Number	:	1245231919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO PULMONARY & SLEEP CONSULTANTS, INC.

Provider Business Mailing Address
First Line	:	1251 DUBLIN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-7000
Country	:	US
Telephone Number	:	614-297-7704
Fax Number	:	614-297-7705

Provider Business Practice Location Address
First Line	:	1251 DUBLIN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-7000
Country	:	US
Telephone Number	:	614-297-7704
Fax Number	:	614-297-7705

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN S KIM
Credential	:	MD
Telephone Number	:	614-297-7704

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	10/10/2023

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