Provider Demographics
NPI:1093395501
Name:COLUMBUS ONE ENDOSCOPY LLC
Entity Type:Organization
Organization Name:COLUMBUS ONE ENDOSCOPY LLC
Other - Org Name:HILLIARD ENDO CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAYAPUDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-330-9952
Mailing Address - Street 1:4600 LEAP CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-9822
Mailing Address - Country:US
Mailing Address - Phone:614-664-6001
Mailing Address - Fax:614-344-0213
Practice Address - Street 1:4600 LEAP CT STE 141
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1232
Practice Address - Country:US
Practice Address - Phone:614-664-6001
Practice Address - Fax:614-344-0213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical