Unknown Individual – Specialist, NPI 1811995061
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1492, East Broad Street, East Broad Street Historic District, Columbus, Franklin, Ohio, 43205, United States
SUITE 1202
COLUMBUS, OH 432051546
Phone: (614) 258-6023
Fax: (614) 258-6109
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43205)
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