Central Ohio Skin Laser Center Inc

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CENTRAL OHIO SKIN LASER CENTER INC

Practice address

4830 Knightsbridge Blvd
Suite M
Columbus, OH 43214-2300

Phone

(614) 538-1200

Fax

(614) 538-0499

NPI assigned

Sep 14, 2006

Last updated

Dec 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Smialek, D.O.

Title

President

Phone

(614) 538-1200

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1427153469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE M",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-538-1200",
            "fax_number": "614-538-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 KNIGHTSBRIDGE BLVD",
            "address_2": "SUITE M",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432142300",
            "telephone_number": "614-538-1200",
            "fax_number": "614-538-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO SKIN LASER CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "SMIALEK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-538-1200",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0906461",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA9768",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Ohio Primary Care Physicians Laboratory Services, LLC
• Central Ohio Primary Care Physicians Specialty Services LLC
• Central Ohio Pulmonary Disease Inc
• Central Ohio Radiation Oncology, Inc.
• Central Ohio Recovery and Counseling LLC
• Central Ohio Specialty Care, LLC
• Central Ohio Specialty Care, LLC
• Central Ohio Sports Medicine and Orthopedics Incorporated
• Central Ohio Surgical Associates
• Central Ohio Surgical Specialists, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.