Provider Demographics
NPI:1245231919
Name:OHIO PULMONARY & SLEEP CONSULTANTS, INC.
Entity Type:Organization
Organization Name:OHIO PULMONARY & SLEEP CONSULTANTS, INC.
Other - Org Name:SLEEP & BREATHING RESEARCH INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-297-7704
Mailing Address - Street 1:1251 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-7000
Mailing Address - Country:US
Mailing Address - Phone:614-297-7704
Mailing Address - Fax:614-297-7705
Practice Address - Street 1:1251 DUBLIN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-7000
Practice Address - Country:US
Practice Address - Phone:614-297-7704
Practice Address - Fax:614-297-7705
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-03
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34043056174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHF36987Medicare UPIN
OHB96572Medicare UPIN
OHF03293Medicare UPIN