Provider Demographics
NPI:1912146747
Name:CENTRAL OHIO GERIATRIC SPECIALISTS
Entity Type:Organization
Organization Name:CENTRAL OHIO GERIATRIC SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:W
Authorized Official - Last Name:MILKS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-933-9100
Mailing Address - Street 1:68 N HIGH ST
Mailing Address - Street 2:SUITE E-105
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-8915
Mailing Address - Country:US
Mailing Address - Phone:614-933-9100
Mailing Address - Fax:
Practice Address - Street 1:68 N HIGH ST
Practice Address - Street 2:SUITE E-105
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-8915
Practice Address - Country:US
Practice Address - Phone:614-933-9100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-18
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric MedicineGroup - Multi-Specialty