Organization
ORTHOPEDICS AND SPORTS MEDICINE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ALAN LADU DO (VICE PRESIDENT)
(614) 878-6182
Entity
Organization
Contact information
Practice address
165 N MURRAY HILL RD, COLUMBUS, OH 43228
(614) 878-6182
(614) 878-1922
Mailing address
165 N MURRAY HILL RD, COLUMBUS, OH 43228
(614) 878-6182
(614) 878-1922
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000572874
HIGHMARK BLUE SHIELD
—
01
—
0236730001
DMFRC
—
01
—
0236730002
DMFRC
—
05
—
0243374
—
OH
01
—
0652009
AETNA
—
01
—
2026236
AETNA
—
01
—
22000000006232
ANTHEM
—
01
—
22000000006233
ANTHEM
—
01
—
910760
HEALTH MAINTENANCE PLAN
—
Enumeration date
03/06/2006
Last updated
08/22/2020
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