Organization Active NPI

Orthopaedic & Spine Center LLC

  • Physical Medicine & Rehabilitation Physician
  • Columbus, OH
National Provider Identifier
1144357906
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35080539 Issued in OH
Legal business name
ORTHOPAEDIC & SPINE CENTER LLC
Practice address
1080 Polaris Parkway
Ste 200
Columbus, OH 43240
Phone
(614) 468-0300
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Authorized official

Name
David Louis Rausch
Title
Chief Administrative Officer
Phone
(614) 468-0284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 35080539 OH Primary

Addresses

Primary practice location

1080 Polaris Parkway
Ste 200
Columbus, OH 43240

Mailing address

1080 Polaris Pkwy
Suite 200
Columbus, OH 43240-6035
Phone (614) 468-0300

Other identifiers 1

IdentifierTypeStateIssuer
2717742MedicaidOH

National Provider Directory

National Provider Directory

Locations

1080 Polaris Pkwy
Ste 200
Columbus, OH 43240
Phone (317) 201-4677

6810 Perimeter Dr
Ste 200A
Dublin, OH 43016
Phone (614) 427-1670

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374451200000",
    "number": "1144357906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 POLARIS PKWY",
            "address_2": "SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432406035",
            "telephone_number": "614-468-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 POLARIS PARKWAY",
            "address_2": "STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43240",
            "telephone_number": "614-468-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPAEDIC & SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-07-22",
        "status": "A",
        "authorized_official_last_name": "RAUSCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "614-468-0284"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35080539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2717742",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.