Provider Demographics
NPI:1124142344
Name:DELPHI INTENSIVIST CONSULTANTS OF OHIO
Entity type:Organization
Organization Name:DELPHI INTENSIVIST CONSULTANTS OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-885-5522
Mailing Address - Street 1:PO BOX 601288
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1288
Mailing Address - Country:US
Mailing Address - Phone:330-470-7400
Mailing Address - Fax:330-497-7940
Practice Address - Street 1:5100 W BROAD ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1607
Practice Address - Country:US
Practice Address - Phone:614-544-2367
Practice Address - Fax:614-544-1765
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELPHI HEALTHCARE PARTNERS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-16
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherDELPHI INTENSIVIST CONSUL