Provider Demographics
NPI:1053512475
Name:COLUMBUS BONE, JOINT AND HAND SURGEONS INC
Entity Type:Organization
Organization Name:COLUMBUS BONE, JOINT AND HAND SURGEONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DELEGATING OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:KUMLER
Authorized Official - Suffix:II
Authorized Official - Credentials:MD
Authorized Official - Phone:614-228-4262
Mailing Address - Street 1:815 W BROAD ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222-1464
Mailing Address - Country:US
Mailing Address - Phone:614-228-4262
Mailing Address - Fax:614-228-6582
Practice Address - Street 1:815 W BROAD ST
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1464
Practice Address - Country:US
Practice Address - Phone:614-228-4262
Practice Address - Fax:614-228-6582
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0417016Medicaid
OH0151640002Medicare ID - Type UnspecifiedDMERC EAST OFFICE
OH9913322Medicare ID - Type UnspecifiedCBJHS INC EAST OFFICE
OH0151640001Medicare ID - Type UnspecifiedDMERC WEST OFFICE
OHCF4145Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OH0417016Medicaid