Provider Demographics
NPI:1508054818
Name:CUMMINS WOMENS HEALTHCARE LLC
Entity Type:Organization
Organization Name:CUMMINS WOMENS HEALTHCARE LLC
Other - Org Name:ELIZABETH CUMMINS MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRACTICE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CUMMINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-888-0800
Mailing Address - Street 1:50 LAZELLE RD E
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-6423
Mailing Address - Country:US
Mailing Address - Phone:614-888-0800
Mailing Address - Fax:614-888-0858
Practice Address - Street 1:2020 ROUNDWYCK LN
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:OH
Practice Address - Zip Code:43065-8562
Practice Address - Country:US
Practice Address - Phone:614-888-0800
Practice Address - Fax:614-846-3244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical