Provider Demographics
NPI:1922077148
Name:CUMMINS WOMENS HEALTHCARE LLC
Entity Type:Organization
Organization Name:CUMMINS WOMENS HEALTHCARE LLC
Other - Org Name:ELIZABETH CUMMINS MD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CUMMINS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-888-0800
Mailing Address - Street 1:2020 ROUNDWYCK LN
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-8562
Mailing Address - Country:US
Mailing Address - Phone:614-888-0800
Mailing Address - Fax:614-846-3244
Practice Address - Street 1:50 LAZELLE RD E
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-6423
Practice Address - Country:US
Practice Address - Phone:614-888-0800
Practice Address - Fax:614-888-0858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35064648261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0129435Medicaid
=========OtherFED TAX ID
OH0129435Medicaid
=========OtherFED TAX ID