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NPI Code Detail

MEDICARE: COLUMBUS MEDICAL GASTROENTEROLOGY

MEDICARE: COLUMBUS MEDICAL GASTROENTEROLOGY
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
1207RG0100XGastroenterology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659386423
Entity Type Code : Organization
Provider Name (Legal Business Name) : COLUMBUS MEDICAL GASTROENTEROLOGY
Provider Business Mailing Address
First Line : 1211 DUBLIN RD FL 2
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1091
Country : US
Telephone Number : 614-486-5207
Fax Number : 614-481-5812
Provider Business Practice Location Address
First Line : 1211 DUBLIN RD FL 2
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1091
Country : US
Telephone Number : 614-486-5207
Fax Number : 614-481-5812
Authorized Official
Title or Position : PRESIDENT
Name : DR. MICHAEL BROGAN
Credential : MD
Telephone Number : 614-486-5207
Provider Enumeration Date : 07/30/2006
Last Update Date : 07/13/2007

Similar Medicare Providers

1922091537 — DR. MARTA BERGESE MD
Practice Location Address:
1211 DUBLIN RD
COLUMBUS, OH
43215-1091
Practice Phone: 614-486-5207
Practice Fax:
1063490845 — DR. KEVIN DALE SCHLESSEL M.D.
Practice Location Address:
1211 DUBLIN RD
COLUMBUS, OH
43215-1091
Practice Phone: 614-486-5200
Practice Fax: 614-486-9665
1174501936 — DR. STERLING WILLIAM HEDRICK M.D.
Practice Location Address:
1211 DUBLIN RD
COLUMBUS, OH
43215-1091
Practice Phone: 614-486-5200
Practice Fax: 614-486-9665
1932187671 — DR. MARVIN HARLAN THOMAS M.D.
Practice Location Address:
1211 DUBLIN RD
COLUMBUS, OH
43215-1091
Practice Phone: 614-486-5200
Practice Fax: 614-486-9665
1679551311 — DR. CATHERINE LEE M.D.
Practice Location Address:
1211 DUBLIN RD
COLUMBUS, OH
43215-1091
Practice Phone: 614-486-5200
Practice Fax: 614-486-9665
1205998432 — MISS SHANNON L GHIZZONI PA-C
Practice Location Address:
1211 DUBLIN RD , COLUMBUS
COLUMBUS, OH
43215-1091
Practice Phone: 614-486-5200
Practice Fax: 614-486-9665

Directions to “COLUMBUS MEDICAL GASTROENTEROLOGY ” Practice Location

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