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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