Osu Plastic Surgery LLC
Organization Active NPI Plastic Surgery Physician · Columbus, OH
NPI 1346533734 · NPPES record last updated Mar 4, 2024
Key facts
- NPI
- 1346533734
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Plastic Surgery Physician 208200000X
- Legal business name
- OSU PLASTIC SURGERY LLC
- Practice address
- 915 Olentangy River Rd Ste 2140
Columbus, OH 43212-3153 - Phone
- (614) 293-8566
- Fax
- (614) 293-3381
- NPI assigned
- May 18, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Amy M. Moore, MD
- Title
- Department Chair
- Phone
- (614) 293-7656
Practitioners 46
-
Albert H. Chao, M.D.
-
Daniel J Cheng, M.D., M.P.H.
-
Min-Jeong Cho, MD
-
Heather Lea Edmonds, APRN-CNP
-
Patrick W Harbour, M.D.
-
Anne Huang, MD
-
Xingchen Li, MD
-
Alexace A Rees, AGACNP-BC
-
Shirley Shue, MD
-
Roman J Skoracki, MD
-
Michael Sorkin, MD
-
Wen Xu, MD
-
Lauren Ann Bennett, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111208000164 | OH | Part B Supplier - Clinic/Group Practice | 2961677679 |
Receives reassigned benefits from 46 practitioners Practice locations: Columbus, OH; Westerville, OH; New Albany, OH; Dublin, OH |
National Provider Directory
Locations
915 Olentangy River Rd
Fl 2
Columbus, OH 43212
700 Childrens Dr
#T5
Columbus, OH 43205
915 Olentangy River Rd
Columbus, OH 43212
181 Taylor Ave
Fl 13181
Columbus, OH 43203
7706 Olentangy River Rd
Columbus, OH 43235
Phone (614) 366-8175
4830 Knightsbridge Blvd
Ste G
Columbus, OH 43214
Phone (614) 488-8000
543 Taylor Ave
Columbus, OH 43203
Phone (614) 685-3333
6515 Pullman Dr
Lewis Center, OH 43035
Phone (614) 688-7140
6100 N Hamilton Rd
Fl 1
Westerville, OH 43081
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician |
208200000X | Yes | ||
| Surgery of the Hand (Plastic Surgery) Physician |
2082S0105X | |||
| Surgery Physician |
208600000X | |||
| Surgical Critical Care Physician |
2086S0102X | |||
| Physician Assistant |
363A00000X |
Addresses
Primary practice location
915 Olentangy River Rd Ste 2140
Columbus, OH 43212-3153
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-8566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS4045 | Other | OH | RAILROAD MEDICARE |
| 0053309 | Medicaid | OH |
Other providers in Columbus, OH
- Osu Observation Medicine, LLC
- Osu Otolaryngology Head and Neck Surgery LLC
- Osu Path Component LLC
- Osu Pathology Services LLC
- Osu Physical Medicine and Rehabilitation, LLC
- Osu Psychiatry, LLC
- Osu Radiation Oncology LLC
- Osu Radiology LLC
- Osu Sports Medicine Center
- Osu Student Health Center Phcy
All providers in Columbus, OH · Plastic Surgery Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.