Provider Demographics
NPI:1063609238
Name:ASSOCIATES IN CENTRAL OHIO OBSTETRICS & GYNECOLOGY, INC
Entity type:Organization
Organization Name:ASSOCIATES IN CENTRAL OHIO OBSTETRICS & GYNECOLOGY, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:D'ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-839-5555
Mailing Address - Street 1:7235 SAWMILL RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-5003
Mailing Address - Country:US
Mailing Address - Phone:614-889-6117
Mailing Address - Fax:614-889-8099
Practice Address - Street 1:7235 SAWMILL RD
Practice Address - Street 2:SUITE 200
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-5003
Practice Address - Country:US
Practice Address - Phone:614-889-6117
Practice Address - Fax:614-889-8099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-01
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHAS9283643Medicare PIN