Provider Demographics
NPI:1043278633
Name:METROPOLITAN SURGERY, INC
Entity Type:Organization
Organization Name:METROPOLITAN SURGERY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:HURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-222-8000
Mailing Address - Street 1:P.O. BOX 711973
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45271-0001
Mailing Address - Country:US
Mailing Address - Phone:614-222-8000
Mailing Address - Fax:614-222-6280
Practice Address - Street 1:777 W STATE ST
Practice Address - Street 2:SUITE 501
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1536
Practice Address - Country:US
Practice Address - Phone:614-222-8000
Practice Address - Fax:614-222-6280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2007-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35052450208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0226204Medicaid
OH2151997Medicaid
OH2609636Medicaid
OH0768263Medicaid
OH2003745Medicaid
OH0632168Medicaid
OH0776745Medicaid
OHA16596Medicare UPIN
OHTU0819371Medicare ID - Type UnspecifiedMEDICARE - JEFF TURNER MD
OHME9929931Medicare ID - Type UnspecifiedMEDICARE GROUP
OHKE0896181Medicare ID - Type UnspecifiedMEDICARE - JASON KEITH MD
OH0226204Medicaid
OHG45363Medicare UPIN
OH2151997Medicaid
OHE73153Medicare UPIN
OHBU0391312Medicare ID - Type UnspecifiedMEDICARE - S. BUDAY M.D.
OH0776745Medicaid
OH2003745Medicaid
OH0632168Medicaid
OHCH4167071Medicare ID - Type UnspecifiedMEDICARE - L.CHAMBERS MD