Provider Demographics
NPI:1932303286
Name:COLUMBUS OBSTETRICIANS - GYNECOLOGISTS, INC.
Entity Type:Organization
Organization Name:COLUMBUS OBSTETRICIANS - GYNECOLOGISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GROUP PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:VANMETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-434-2444
Mailing Address - Street 1:750 MOUNT CARMEL MALL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222-1553
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:750 MOUNT CARMEL MALL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1553
Practice Address - Country:US
Practice Address - Phone:614-434-2444
Practice Address - Fax:614-434-2491
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical