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Organization

CENTRAL OHIO SPORTS MEDICINE AND ORTHOPEDICS INCORPORATED

Active
Other names
'COSMO'
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KEITH ALAN LADU D.O. (PRESIDENT)
(614) 878-6182
Entity
Organization

Contact information

Practice address
165 N MURRAY HILL RD, COLUMBUS, OH 43228-1585
(614) 878-6182
(614) 878-1922
Mailing address
165 N MURRAY HILL RD, COLUMBUS, OH 43228-1585
(614) 878-6182
(614) 878-1922

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34005826
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000543295
ANTHEM
01
000000543304
ANTHEM
01
000000543334
ANTHEM
01
000000543336
ANTHEM
05
0048095
OH
05
0671269
OH
01
121264245001
MEDICAL MUTUAL OF OHIO
05
2024893
OH
01
294741914013
MEDICAL MUTUAL OF OHIO
01
32054993301
MEDICAL MUTUAL OH OHIO
01
DG8198
RAILROAD MEDICARE
01
PO0456787
RAILROAD MEDICARE
01
PO0456788
RAILROAD MEDICARE
01
PO0456789
RAILROAD MEDICARE
Enumeration date
09/04/2007
Last updated
04/23/2013
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