Provider Demographics
NPI:1013405349
Name:OHIO HEART GROUP, INC
Entity Type:Organization
Organization Name:OHIO HEART GROUP, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TERI
Authorized Official - Middle Name:A
Authorized Official - Last Name:ARP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-859-1107
Mailing Address - Street 1:800 E BROAD ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-1015
Mailing Address - Country:US
Mailing Address - Phone:614-252-8300
Mailing Address - Fax:614-252-6637
Practice Address - Street 1:3983 JACKPOT RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-8637
Practice Address - Country:US
Practice Address - Phone:614-594-2920
Practice Address - Fax:614-594-2925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-23
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.070483K207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
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