Provider Demographics
NPI:1437223385
Name:COLUMBUS, KAREN S (MD)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:S
Last Name:COLUMBUS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2060 READING RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-1454
Mailing Address - Country:US
Mailing Address - Phone:513-721-3200
Mailing Address - Fax:513-639-3186
Practice Address - Street 1:4850 RED BANK RD
Practice Address - Street 2:SUITE 311
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-1545
Practice Address - Country:US
Practice Address - Phone:513-221-2544
Practice Address - Fax:513-221-1320
Is Sole Proprietor?:No
Enumeration Date:2006-11-20
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH059714208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000016239OtherBLUE CROSS BLUE SHIELD
OH0834100Medicaid
1720378OtherUNITED HEALTH CARE
KY64045412Medicaid
OH000000016239OtherBLUE CROSS BLUE SHIELD
E73989Medicare UPIN