MEDICARE: COMPREHENSIVE WOMEN'S CARE, 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	207V00000X	Obstetrics & Gynecology Physician

General Provider Information

NPI Number	:	1376588970
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPREHENSIVE WOMEN'S CARE, INC

Provider Business Mailing Address
First Line	:	3600 OLENTANGY RIVER RD
Second Line	:	BUILDING A
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3437
Country	:	US
Telephone Number	:	614-583-5552
Fax Number	:	614-583-5559

Provider Business Practice Location Address
First Line	:	3600 OLENTANGY RIVER RD
Second Line	:	BUILDING A
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3437
Country	:	US
Telephone Number	:	614-583-5552
Fax Number	:	614-583-5559

Authorized Official
Title or Position	:	OFFICE ADMINISTRATOR
Name	:	SARAH LANSON
Credential	:
Telephone Number	:	614-583-5552

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	01/04/2017

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