Organization
JAMES J SARDO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANN CHESSER (CREDENTIALING SPECIALIST)
(614) 796-0338
Entity
Organization
Contact information
Practice address
597 EXECUTIVE CAMPUS DR, WESTERVILLE, OH 43082
(614) 796-0338
(614) 890-5485
Mailing address
PO BOX 300, NEW ALBANY, OH 43054-0300
(614) 796-0338
(614) 890-5485
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
35-075612
OH
273Y00000X
Rehabilitation Hospital Unit
35-075612
OH
314000000X
Skilled Nursing Facility
35-075612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2127102
—
OH
Enumeration date
01/26/2007
Last updated
08/22/2018
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