# OSU EMERGENCY MEDICINE LLC

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

## Provider details

- **NPI number:** 1699705681
- **Authorized official:** MR. RICHARD J SOBIERAY JR. (COO)
- **Authorized official phone:** (614) 255-4461

## Contact information

- **Practice address:** 410 W 10TH AVE, COLUMBUS, OH 43210-1240
- **Practice address phone:** (614) 293-8305
- **Practice address fax:** (614) 293-3124
- **Mailing address:** 700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
- **Mailing address phone:** (614) 255-4461
- **Mailing address fax:** (614) 262-4042

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | OH | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 07/17/2025
