Organization Active NPI

Columbus Eyelid Plastic Surgery, LLC

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Gahanna, OH
National Provider Identifier
1376294900
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmic Plastic and Reconstructive Surgery PhysicianTaxonomy code 207WX0200X
Legal business name
COLUMBUS EYELID PLASTIC SURGERY, LLC
Practice address
725 Buckles CT N Ste 110
Gahanna, OH 43230-6884
Phone
(614) 397-2404
NPI assigned
Jan 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Authorized official

Name
Dr. Courtney Kauh, M.D.NPI 1245524768
Title
Provider/Owner
Phone
(614) 397-2404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmic Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207WX0200X Primary
Medical Specialty Clinic/Center 261QM2500X
Ophthalmologic Surgery Clinic/Center 261QS0132X

Addresses

Primary practice location

725 Buckles CT N Ste 110
Gahanna, OH 43230-6884

Mailing address

4113 Clairmont Rd
Upper Arlington, OH 43220-4501
Phone (614) 397-2404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220302001586 OH Part B Supplier - Clinic/Group Practice 5698169951 Receives reassigned benefits from 1 practitioner
Practice locations: Gahanna, OH

National Provider Directory

National Provider Directory

Locations

725 Buckles Ct N
Ste 110
Gahanna, OH 43230
Phone (614) 397-2404

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642118400000",
    "number": "1376294900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4113 CLAIRMONT RD",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432204501",
            "telephone_number": "614-397-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BUCKLES CT N STE 110",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306884",
            "telephone_number": "614-397-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS EYELID PLASTIC SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A",
        "authorized_official_last_name": "KAUH",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "614-397-2404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207WX0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.