Provider Demographics
NPI:1053830885
Name:OHIO ORTHOPEDIC SURGERY INSTITUTE LLC
Entity Type:Organization
Organization Name:OHIO ORTHOPEDIC SURGERY INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:B
Authorized Official - Last Name:SAUL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-827-8777
Mailing Address - Street 1:4605 SAWMILL ROAD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220
Mailing Address - Country:US
Mailing Address - Phone:614-827-8777
Mailing Address - Fax:614-488-7864
Practice Address - Street 1:1325 STRINGTOWN RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123
Practice Address - Country:US
Practice Address - Phone:614-827-8777
Practice Address - Fax:614-869-1886
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OHIO ORTHOPEDIC SURGERY INSTITUTE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-09-13
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical