MEDICARE: OHIO HEALTH CORPORATION

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	207W00000X	Ophthalmology Physician
2	207R00000X	Internal Medicine Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CB0331	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1669530846
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OHIO HEALTH CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 951448
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44193-1448
Country	:	US
Telephone Number	:	800-742-2368
Fax Number	:	937-291-2962

Provider Business Practice Location Address
First Line	:	50 OLD VILLAGE RD
Second Line	:	STE. 201
City	:	COLUMBUS
State	:	OH
Zip	:	43228-1583
Country	:	US
Telephone Number	:	614-544-1976
Fax Number	:

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	AMY MCCREIGHT
Credential	:
Telephone Number	:	614-544-1989

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	04/20/2008

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Directions to “OHIO HEALTH CORPORATION ” Practice Location

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