Mid-Ohio Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MID-OHIO SURGICAL ASSOCIATES

Practice address

750 Mount Carmel Mall
Suite 200
Columbus, OH 43222-1553

Phone

(614) 228-0768

Fax

(614) 228-7381

NPI assigned

May 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. David Hafler

Title

Administrator

Phone

(614) 228-0768

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chiseko Hamisi

  • Nurse Practitioner
  • Columbus, OH
  • NPI 1588255988

  Multi-Specialty

  NPD (past)
• Raejeanne Beth Nutter, APRN-CNP

  • Family Nurse Practitioner
  • Columbus, OH
  • NPI 1538775705
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1023062221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-228-0768",
            "fax_number": "614-228-7381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MOUNT CARMEL MALL",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221553",
            "telephone_number": "614-228-0768",
            "fax_number": "614-228-7381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-OHIO SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HAFLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-228-0768",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0736510",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mid-Ohio Family Practice Associates LLC
• Mid-Ohio Homecare Services LTD
• Mid-Ohio Medical Associates Inc
• Mid-Ohio Medical Specialists, Inc.
• Mid-Ohio Oncology Hematology Inc
• Mid-South Home Care Services, LLC
• Kristyon Midcalf
• Rena Middendorf
• Middle Path Counseling and Wellness LLC
• Julie Middlebrooks-Reid

• Surgery Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.