MEDICARE: OHIO STATE UNIVERSITY

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	207VM0101X	Maternal & Fetal Medicine Physician

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

General Provider Information

NPI Number	:	1316904436
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO STATE UNIVERSITY

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD
Second Line	:	STE 570
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-3693
Fax Number	:	614-293-4354

Provider Business Practice Location Address
First Line	:	1800 ZOLLINGER RD
Second Line	:	4TH FL
City	:	COLUMBUS
State	:	OH
Zip	:	43221-2849
Country	:	US
Telephone Number	:	614-293-2222
Fax Number	:	614-293-2200

Authorized Official
Title or Position	:	DIRECTOR, CORPORATE CREDENTIALING
Name	:	ANNE SMITH
Credential	:
Telephone Number	:	614-293-7444

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	11/30/2018

Similar Medicare Providers

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Practice Location Address:

1800 ZOLLINGER RD
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43221-2849

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1174512099 — MS. ALLISON BRENNAN SPITALE M.S,
Practice Location Address:

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1801868229 — MR. MICHAEL T. SCHNUPP PA-C
Practice Location Address:

1800 ZOLLINGER RD
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Practice Fax: 614-293-8902

1578523080 — ARSAD KARCIC M.D.
Practice Location Address:

1800 ZOLLINGER RD , 2ND FLOOR
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1003870528 — JAY DONALD IAMS MD
Practice Location Address:

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1376592113 — SARAH A. JONAUS MD
Practice Location Address:

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Directions to “OHIO STATE UNIVERSITY ” Practice Location

Language	Start Address	Practice Location

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