Provider Demographics
NPI:1952433898
Name:COLUMBUS ARTHRITIS CENTER, INC.
Entity Type:Organization
Organization Name:COLUMBUS ARTHRITIS CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHLESSEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-486-5200
Mailing Address - Street 1:1211 DUBLIN RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1091
Mailing Address - Country:US
Mailing Address - Phone:614-486-5200
Mailing Address - Fax:614-486-9665
Practice Address - Street 1:1211 DUBLIN RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1091
Practice Address - Country:US
Practice Address - Phone:614-486-5200
Practice Address - Fax:614-486-9665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH10461-IC261QM2500X
OH36-D0329766291U00000X
332900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
No332900000XSuppliersNon-Pharmacy Dispensing Site
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0213174Medicaid
OHCO9279991Medicare PIN
OHCOD368341Medicare PIN