# COLUMBUS PODIATRY & SURGERY, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518972900
- **Authorized official:** ANIMESH BHATIA DPM (PRESIDENT/CEO)
- **Authorized official phone:** (614) 323-6366

## Contact information

- **Practice address:** 117 LAZELLE RD E., \#B, COLUMBUS, OH 43235-8605
- **Practice address phone:** (614) 885-3338
- **Practice address fax:** (877) 877-4797
- **Mailing address:** 117 LAZELLE RD E., \#B, COLUMBUS, OH 43235-8605
- **Mailing address phone:** (614) 885-3338
- **Mailing address fax:** (877) 877-4797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 35061998 | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003042 | OH | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36003547 | OH | Yes |
| 363AM0700X | Medical Physician Assistant | 50001647 | OH | — |
| 363L00000X | Nurse Practitioner | COA07955NP | OH | — |
| 363LF0000X | Family Nurse Practitioner | 10669NP | OH | — |

## Other

- **Enumeration date:** 07/31/2006
- **Last updated:** 05/01/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2797326 | — | OH |
| 01 | — | DG4668 | RAILROAD MEDICARE | — |