Organization Active NPI

Columbus Surgical Specialists Inc

  • Specialist
  • Columbus, OH
National Provider Identifier
1669553558
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COLUMBUS SURGICAL SPECIALISTS INC
Practice address
3555 Olentangy River Rd
Ste 2000
Columbus, OH 43214-3912
Phone
(614) 263-1865
Fax
(614) 263-5998
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Authorized official

Name
Terry Clark
Title
Practice Manager
Phone
(614) 263-1865

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3555 Olentangy River Rd
Ste 2000
Columbus, OH 43214-3912

Mailing address

3555 Olentangy River Rd
Ste 2000
Columbus, OH 43214-3912
Phone (614) 263-1865

Other identifiers 1

IdentifierTypeStateIssuer
0247807MedicaidOH

National Provider Directory

National Provider Directory

Locations

3555 Olentangy River Rd
Ste 2000
Columbus, OH 43214
Phone (614) 263-1865

3555 Olentangy River Rd
#2000
Columbus, OH 43214
Phone (614) 263-1865

Practitioners & affiliated clinicians

Practitioners 6

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194220800000",
    "number": "1669553558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD",
            "address_2": "STE 2000",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143912",
            "telephone_number": "614-263-1865",
            "fax_number": "614-263-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 OLENTANGY RIVER RD",
            "address_2": "STE 2000",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143912",
            "telephone_number": "614-263-1865",
            "fax_number": "614-263-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS SURGICAL SPECIALISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-11-05",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "614-263-1865"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0247807",
            "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 Nov 5, 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.