Organization
COLUMBUS PULMONARY AND CRITICAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY C ST JOHN MD (PRESIDENT)
(614) 224-0093
Entity
Organization
Contact information
Practice address
745 W STATE ST, SUITE 610, COLUMBUS, OH 43222
(614) 224-0093
(614) 221-5480
Mailing address
745 W STATE ST, SUITE 610, COLUMBUS, OH 43222
(614) 224-0093
(614) 221-5480
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
35054825
OH
207RP1001X
Pulmonary Disease Physician
35054825
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2873878
—
OH
01
—
DH0842
RAILROAD MEDICARE
—
Enumeration date
03/01/2007
Last updated
05/06/2013
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