Greater Columbus Otolaryngology, Head and Neck Surgery, Inc.

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

35032588 Issued in OH

Legal business name

GREATER COLUMBUS OTOLARYNGOLOGY, HEAD AND NECK SURGERY, INC.

Practice address

839 W Broad St
Columbus, OH 43222-1416

Phone

(614) 461-0008

Fax

(614) 461-6076

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

James A Mechenbier, M.D.

Title

President

Phone

(614) 461-0008

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195603200000",
    "number": "1508949710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221416",
            "telephone_number": "614-461-0008",
            "fax_number": "614-461-6076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 W BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432221416",
            "telephone_number": "614-461-0008",
            "fax_number": "614-461-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER COLUMBUS OTOLARYNGOLOGY, HEAD AND NECK SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-11-21",
        "status": "A",
        "authorized_official_last_name": "MECHENBIER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-461-0008",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "OH",
            "license": "35032588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0739811",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA1803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.