Provider Demographics
NPI:1164552964
Name:EDWARD T. ARCY, D.O., INC.
Entity Type:Organization
Organization Name:EDWARD T. ARCY, D.O., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:ARCY
Authorized Official - Suffix:III
Authorized Official - Credentials:DO
Authorized Official - Phone:614-889-4900
Mailing Address - Street 1:10330 SAWMILL PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-7790
Mailing Address - Country:US
Mailing Address - Phone:614-889-4900
Mailing Address - Fax:614-889-2422
Practice Address - Street 1:10330 SAWMILL PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-7790
Practice Address - Country:US
Practice Address - Phone:614-889-4900
Practice Address - Fax:614-889-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003545261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care