MEDICARE: ANTHONY S. NERI, M.D. 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	261QA1903X	Ambulatory Surgical Clinic/Center	35070764T	OH

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

General Provider Information

NPI Number	:	1730347873
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY S. NERI, M.D. INC

Provider Business Mailing Address
First Line	:	3500 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2219
Country	:	US
Telephone Number	:	614-237-3000
Fax Number	:	614-237-2154

Provider Business Practice Location Address
First Line	:	3500 E LIVINGSTON AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-2219
Country	:	US
Telephone Number	:	614-237-3000
Fax Number	:	614-237-2154

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MARLA M BALDWIN
Credential	:
Telephone Number	:	614-237-3000

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	06/26/2008

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