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Contact Information

OSU PLASTIC SURGERY LLC
915 OLENTANGY RIVER RD STE 2140
COLUMBUS, OH43212-3153
 Phone: 614-293-8566
 Fax: 614-293-3381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgery of the Hand

2082S0105X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for OSU PLASTIC SURGERY LLC · (Female)

NPI Number 1346533734
Status Active
Credentials
Entity Individual
Enumeration date 05/18/2011
Last updated 03/04/2024 - About 2 years ago
Sole proprietor 1 Not specified
Identifiers
  • OH Medicaid 0053309
  • OH Other DS4045 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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