# OHIO STATE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OSU EAST PHYSICIAN SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801854724
- **Authorized official:** ANNE SMITH (DIRECTOR CORPORATE CREDENTIALING)
- **Authorized official phone:** (614) 293-7444

## Contact information

- **Practice address:** 181 TAYLOR AVE, COLUMBUS, OH 43203-1779
- **Practice address phone:** (614) 257-3760
- **Practice address fax:** (614) 257-3148
- **Mailing address:** 700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
- **Mailing address phone:** (614) 293-2391
- **Mailing address fax:** (614) 293-4359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 02/02/2017
