# MEDICAL CONSULTANCY OF OHIO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medical Consultancy of Ohio PA Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770200149
- **Authorized official:** EDWIN CAPULONG MD (CEO)
- **Authorized official phone:** (330) 888-2962

## Contact information

- **Practice address:** 1217 GRANDVIEW AVE, COLUMBUS, OH 43212-3455
- **Practice address phone:** (330) 888-2962
- **Practice address fax:** (330) 280-5116
- **Mailing address:** PO BOX 1678, POWELL, OH 43065-1678
- **Mailing address phone:** (330) 888-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |

## Other

- **Enumeration date:** 10/26/2022
- **Last updated:** 10/26/2022