Organization Active NPI

Central Ohio Surgical Specialists, Inc

  • Surgery Physician
  • Columbus, OH
National Provider Identifier
1417002247
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
CENTRAL OHIO SURGICAL SPECIALISTS, INC
Practice address
4930 W Broad St
Suite 1
Columbus, OH 43228-1696
Phone
(614) 870-1701
Fax
(614) 870-2081
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Stephen T Fisher, DO
Title
President
Phone
(614) 870-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

4930 W Broad St
Suite 1
Columbus, OH 43228-1696

Mailing address

4930 W Broad St
Suite 1
Columbus, OH 43228-1696
Phone (614) 870-1701

Other identifiers 1

IdentifierTypeStateIssuer
0499438MedicaidOH

National Provider Directory

National Provider Directory

Locations

4930 W Broad St
Ste 1
Columbus, OH 43228
Phone (614) 870-1701

5539 Hilliard Rome Office Park
Hilliard, OH 43026
Phone (614) 636-3668

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417002247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 W BROAD ST",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281696",
            "telephone_number": "614-870-1701",
            "fax_number": "614-870-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 W BROAD ST",
            "address_2": "SUITE 1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281696",
            "telephone_number": "614-870-1701",
            "fax_number": "614-870-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO SURGICAL SPECIALISTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-870-1701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499438",
            "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 Aug 22, 2020; 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.