Organization
CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC
Active
Other names
CENTRAL OHIO PEDIATRIC ENDOCRINOLOGY & DIABETES SERV LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM BYRON ZIPF MD (MEDICAL DIRECTOR)
(614) 839-3040
Entity
Organization
Contact information
Practice address
55 DILLMONT DR, SUITE 100, COLUMBUS, OH 43235-6458
(614) 839-3040
(614) 839-3041
Mailing address
55 DILLMONT DR, SUITE 100, COLUMBUS, OH 43235-6458
(614) 839-3040
(614) 839-3041
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373760
—
OH
05
—
2044488
—
OH
01
—
A79972
UPIN
—
01
—
CE9314531
MEDICARE GROUP
OH
01
—
E21314
UPIN
—
01
—
Z10493253
MEDICARE INDIVIDUAL
OH
Enumeration date
02/24/2009
Last updated
11/19/2014
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