Provider Demographics
NPI:1841310216
Name:MUSCULOSKELETAL MEDICAL SPECIALISTS INC
Entity type:Organization
Organization Name:MUSCULOSKELETAL MEDICAL SPECIALISTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-464-4667
Mailing Address - Street 1:500 EAST MAIN STREET
Mailing Address - Street 2:SUITE 230
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-5369
Mailing Address - Country:US
Mailing Address - Phone:614-464-4667
Mailing Address - Fax:614-469-5099
Practice Address - Street 1:500 EAST MAIN STREET
Practice Address - Street 2:SUITE 230
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-5369
Practice Address - Country:US
Practice Address - Phone:614-464-4667
Practice Address - Fax:614-469-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35051114207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH28650491900OtherBWC PIN OHIO
OH28650441900OtherBWC PIN OHIO
OH2053861Medicaid
OH660002103OtherRAILROAD MEDICARE PIN
OH660002103OtherRAILROAD MEDICARE PIN
OH28650491900OtherBWC PIN OHIO
OH2053861Medicaid
OHFL0648798Medicare ID - Type Unspecified