MEDICARE: METROMED, 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	207Q00000X	Family Medicine Physician	34003267H	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	:	1831245174
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROMED, INC.

Provider Business Mailing Address
First Line	:	5797 BEECHCROFT RD STE F
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2758
Country	:	US
Telephone Number	:	614-890-5060
Fax Number	:	614-890-5035

Provider Business Practice Location Address
First Line	:	5797 BEECHCROFT RD STE F
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-2758
Country	:	US
Telephone Number	:	614-890-5060
Fax Number	:	614-890-5035

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. EMMART Y HOY JR.
Credential	:	D.O.
Telephone Number	:	614-890-5060

Provider Enumeration Date	:	01/27/2007
Last Update Date	:	07/16/2007

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Directions to “METROMED, INC. ” Practice Location

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