Provider Demographics
NPI:1316283690
Name:THE OHIO STATE UNIVERSITY
Entity type:Organization
Organization Name:THE OHIO STATE UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MIDLEVEL PROVIDERS
Authorized Official - Prefix:MS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BROM
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:614-366-3776
Mailing Address - Street 1:915 OLENTANGY RIVER ROAD
Mailing Address - Street 2:SUITE 2140
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:915 OLENTANGY RIVER ROAD
Practice Address - Street 2:SUITE 2140
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212
Practice Address - Country:US
Practice Address - Phone:614-293-8566
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-14
Last Update Date:2012-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital