Capital City Neurosurgery LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

35-080525 Issued in OH

Legal business name

CAPITAL CITY NEUROSURGERY LLC

Practice address

3600 Olentangy River Rd
BLDG 480
Columbus, OH 43214-3437

Phone

(614) 300-1105

Fax

(614) 678-8851

NPI assigned

Sep 16, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Jiyong Kiehm, MD

Title

President

Phone

(614) 300-1105

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1347753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1346590445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD",
            "address_2": "BLDG 480",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-300-1105",
            "fax_number": "614-678-8851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 OLENTANGY RIVER RD",
            "address_2": "BLDG 480",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143437",
            "telephone_number": "614-300-1105",
            "fax_number": "614-678-8851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL CITY NEUROSURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-16",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "KIEHM",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "JIYONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-300-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35-080525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2647112",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Capital Health LLC
• Capital Home Health, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.