Osup Clinical Physicians, LLC

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

OSUP CLINICAL PHYSICIANS, LLC

Practice address

543 Taylor Ave Ste 2115
Columbus, OH 43203-1278

Phone

(614) 366-3687

NPI assigned

Jan 15, 2019

Organization subpart

No

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

Authorized official

Name

Kyle Sharp

Title

Int Executive Director

Phone

(614) 293-3202

Specialties & licenses 1

Addresses

Other names 1

• OSU Physicians, Inc Other name

Locations

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547510400000",
    "number": "1215401013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 600",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 TAYLOR AVE STE 2115",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432031278",
            "telephone_number": "614-366-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSUP CLINICAL PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A",
        "authorized_official_last_name": "SHARP",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "INT EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-293-3202"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSU Physicians, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Aaron Bamberger Oswald, MD
• Andrew Clark Oswalt, MDIV
• Angela K Oswalt, LISW, MSW
• Leila M Oswalt, AA
• Yoshiaki Ota

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.