Provider Demographics
NPI:1033303599
Name:COSMETIC & PLASTIC SURGERY OF COLUMBUS, INC.
Entity Type:Organization
Organization Name:COSMETIC & PLASTIC SURGERY OF COLUMBUS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SURGEON/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HOUSER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:614-890-5565
Mailing Address - Street 1:41 COMMERCE PARK DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-8348
Mailing Address - Country:US
Mailing Address - Phone:614-890-5565
Mailing Address - Fax:614-890-5561
Practice Address - Street 1:41 COMMERCE PARK DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43082-8348
Practice Address - Country:US
Practice Address - Phone:614-890-5565
Practice Address - Fax:614-890-5561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34006992174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH87638Medicare UPIN