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 |