Organization
ORTHOPEDICS AND SPORTS MEDICINE INCORPORATED
Active
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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