Provider Demographics
NPI:1538398151
Name:OHIO STATE UNIVERSITY MEDICAL CENTER
Entity type:Organization
Organization Name:OHIO STATE UNIVERSITY MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL INSTRUCTOR HOUSE STAFF
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-667-2722
Mailing Address - Street 1:OSU EYE AND EAR INSTITUTE
Mailing Address - Street 2:915 OLENTANGY RIVER ROAD
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212
Mailing Address - Country:US
Mailing Address - Phone:614-293-9215
Mailing Address - Fax:
Practice Address - Street 1:925 OLENTANGY RIVER ROAD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212
Practice Address - Country:US
Practice Address - Phone:614-293-9215
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-02
Last Update Date:2009-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital