Active NPI
Central Ohio Sports Medicine and Orthopedics Incorporated
- Specialist
- Columbus, OH
National Provider Identifier
1508050485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 34005826
- Legal business name
- CENTRAL OHIO SPORTS MEDICINE AND ORTHOPEDICS INCORPORATED
- Practice address
- 165 N Murray Hill Rd
Columbus, OH 43228-1585 - Phone
- (614) 878-6182
- Fax
- (614) 878-1922
- NPI assigned
- Sep 4, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Keith Alan Ladu, D.O.
- Title
- President
- Phone
- (614) 878-6182
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 34005826 | OH | Primary |
Addresses
Primary practice location
165 N Murray Hill Rd
Columbus, OH 43228-1585
Mailing address
165 N Murray Hill Rd
Columbus, OH 43228-1585
Phone (614) 878-6182
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0671269 | Medicaid | OH | |
| 294741914013 | Other | MEDICAL MUTUAL OF OHIO | |
| DG8198 | Other | RAILROAD MEDICARE | |
| 000000543334 | Other | ANTHEM | |
| 32054993301 | Other | MEDICAL MUTUAL OH OHIO | |
| 000000543295 | Other | ANTHEM | |
| 000000543336 | Other | ANTHEM | |
| 2024893 | Medicaid | OH | |
| PO0456788 | Other | RAILROAD MEDICARE | |
| 000000543304 | Other | ANTHEM | |
| 121264245001 | Other | MEDICAL MUTUAL OF OHIO | |
| 0048095 | Medicaid | OH | |
| PO0456787 | Other | RAILROAD MEDICARE | |
| PO0456789 | Other | RAILROAD MEDICARE |
Other names 1
- 'COSMO'
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1366675200000",
"number": "1508050485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 N MURRAY HILL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281585",
"telephone_number": "614-878-6182",
"fax_number": "614-878-1922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N MURRAY HILL RD",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432281585",
"telephone_number": "614-878-6182",
"fax_number": "614-878-1922"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL OHIO SPORTS MEDICINE AND ORTHOPEDICS INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-04",
"last_updated": "2013-04-23",
"status": "A",
"authorized_official_last_name": "LADU",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-878-6182",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": "34005826",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0671269",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "294741914013",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DG8198",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000543334",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OH OHIO",
"identifier": "32054993301",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000543295",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000543336",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2024893",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PO0456788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000543304",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "121264245001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0048095",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PO0456787",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "PO0456789",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "'COSMO'",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Columbus, OH
- Central Ohio Radiation Oncology, Inc.
- Central Ohio Recovery and Counseling LLC
- Central Ohio Skin Laser Center Inc
- Central Ohio Specialty Care, LLC
- Central Ohio Specialty Care, LLC
- Central Ohio Surgical Associates
- Central Ohio Surgical Specialists, Inc
- Central Ohio Therapies, LLC
- Central Ohio Thoracic & Cardiovascular Surgery
- Central Ohio Transitional Initiative / Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.