Organization
OHIO STATE UNIVERSITY
Active
Other names
OSU EAST PHYSICIAN SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE SMITH (DIRECTOR CORPORATE CREDENTIALING)
(614) 293-7444
Entity
Organization
Contact information
Practice address
181 TAYLOR AVE, COLUMBUS, OH 43203-1779
(614) 257-3760
(614) 257-3148
Mailing address
700 ACKERMAN RD, SUITE 570, COLUMBUS, OH 43202-1559
(614) 293-2391
(614) 293-4359
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187646
—
OH
Enumeration date
05/02/2006
Last updated
02/02/2017
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