Provider Demographics
| NPI: | 1619394475 |
|---|---|
| Name: | CENTRAL OHIO SURGICAL ASSISTANTS |
| Entity type: | Organization |
| Organization Name: | CENTRAL OHIO SURGICAL ASSISTANTS |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | OWNER |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | KATHLEEN |
| Authorized Official - Middle Name: | EMMA |
| Authorized Official - Last Name: | VOLPE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | CSFA |
| Authorized Official - Phone: | 614-507-5330 |
| Mailing Address - Street 1: | 374 OLDE MILL DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | WESTERVILLE |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 43082-1024 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 614-507-5330 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 374 OLDE MILL DR |
| Practice Address - Street 2: | |
| Practice Address - City: | WESTERVILLE |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 43082-1024 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 614-507-5330 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2014-03-18 |
| Last Update Date: | 2014-03-18 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 246ZC0007X | Technologists, Technicians & Other Technical Service Providers | Specialist/Technologist, Other | Surgical Assistant | Group - Single Specialty |