Provider Demographics
NPI:1518351287
Name:COLUMBUS CARDIOLOGY CARE, LLC
Entity type:Organization
Organization Name:COLUMBUS CARDIOLOGY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MURNANE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-224-0093
Mailing Address - Street 1:745 W STATE ST
Mailing Address - Street 2:SUITE 610
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43222-1515
Mailing Address - Country:US
Mailing Address - Phone:614-224-0093
Mailing Address - Fax:614-221-5480
Practice Address - Street 1:745 W STATE ST
Practice Address - Street 2:SUITE 610
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43222-1515
Practice Address - Country:US
Practice Address - Phone:614-224-0093
Practice Address - Fax:614-221-5480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-20
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35048330M207RI0011X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1866109OtherCIGNA
OH289254OtherBLACK LUNG
OH000000000014676OtherANTHEM BCBS
OH060005316OtherRAILROAD MEDICARE
OH2500188OtherUNITED HEALTHCARE OF OHIO
OH0604760Medicare PIN
OHA16646Medicare UPIN