MEDICARE: COLUMBUS SPINE & NEUROSURGERY SERVICES

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		IN

General Provider Information

NPI Number	:	1568517712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBUS SPINE & NEUROSURGERY SERVICES

Provider Business Mailing Address
First Line	:	P O BOX 3007
Second Line	:
City	:	COLUMBUS
State	:	IN
Zip	:	47202-3007
Country	:	US
Telephone Number	:	812-375-0000
Fax Number	:	812-375-0711

Provider Business Practice Location Address
First Line	:	2675 FOXPOINTE DRIVE
Second Line	:	SUITE B
City	:	COLUMBUS
State	:	IN
Zip	:	47203-3390
Country	:	US
Telephone Number	:	812-375-0000
Fax Number	:	812-375-0711

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DARIA SCHOOLER
Credential	:	M.D.
Telephone Number	:	812-375-0000

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	07/21/2022

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