Provider Demographics
NPI:1003098823
Name:COLUMBUS ALLERGY PHYSICIANS, INC
Entity Type:Organization
Organization Name:COLUMBUS ALLERGY PHYSICIANS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHOMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-267-9263
Mailing Address - Street 1:941 CHATHAM LN STE 215
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-2416
Mailing Address - Country:US
Mailing Address - Phone:614-267-9263
Mailing Address - Fax:614-267-2755
Practice Address - Street 1:941 CHATHAM LN STE 215
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-2416
Practice Address - Country:US
Practice Address - Phone:614-267-9263
Practice Address - Fax:614-267-2755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-04
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35035513C207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0920730Medicaid
OH0920730Medicaid
OH9926882Medicare PIN