Provider Demographics
NPI:1437586559
Name:THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, COMPREHENSIVE CANCER
Entity Type:Organization
Organization Name:THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER, COMPREHENSIVE CANCER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL NURSE SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TALETHA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RN, CNS, CCRN
Authorized Official - Phone:614-366-5332
Mailing Address - Street 1:300 W 10TH AVE
Mailing Address - Street 2:THE JAMES 9TH FLOOR RM. 924
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1280
Mailing Address - Country:US
Mailing Address - Phone:614-366-5332
Mailing Address - Fax:
Practice Address - Street 1:300 W 10TH AVE
Practice Address - Street 2:THE JAMES 9TH FLOOR RM. 924
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1280
Practice Address - Country:US
Practice Address - Phone:614-366-5332
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN221643282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital