DR. ERIC JACOB FICHTENBAUM (NPI# 1073932091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073932091 |
| Entity Type | Individual |
| Full Name | DR. ERIC JACOB FICHTENBAUM |
| Credential | M.D. |
| Practice Address |
500 E Main St Ste 220 Columbus OH 43215-5369 |
| Mailing Address |
Po Box 31309 Los Angeles CA 90031-0309 |
| Practice Telephone | 6145449670 |
| Practice Fax Number | 6145449671 |
| Mailing Telephone | 3232763707 |
| Mailing Fax Number | 5135583474 |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2020-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 35.1396815 | OH | Allopathic & Osteopathic Physicians |
| N | 208800000X | Urology | A162397 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| University of Cincinnati Medical Ctr, Dept of Surgery 231 Albert Sabin Way Ml 0558, Cincinnati, OH 452670558 | 5135585861 | 5135583474 |
| Street Address |
500 E MAIN ST STE 220 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-5369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659923563 | Jill Allison Pate | Registered Nurse | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2019-07-10 |
| 1568937712 | Renea Older | Nurse Practitioner | 500 E Main St Ste 220, Columbus, OH 43215-5369 | 2018-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932594249 | Elizabeth Chang Wendel | Urology | 1538 13th Ave Ste B250, Columbus, GA 31901-2565 | 2015-04-02 |
| 1992123509 | Raunak Patel | Urology | 500 Thomas Ln Ste G, Columbus, OH 43214-3902 | 2014-04-01 |
| 1942563069 | John Alex Brockman | Urology | 5141 W Broad St Ste 180, Columbus, OH 43228-1992 | 2012-06-22 |
| 1699092056 | Kenneth Delay | Urology | 1538 13th Ave Ste A, Columbus, GA 31901-2544 | 2010-04-26 |
| 1750596094 | Central Ohio Urology Group, Inc. | Urology | 3100 Plaza Properties Blvd., Suite 320, Columbus, OH 43219 | 2007-05-11 |
| 1376667212 | Robert Allen Berkman | Urology | 279 S Drexel Ave, Columbus, OH 43209-1742 | 2007-03-17 |
| 1609923796 | Rice and Lake Urology LLP | Urology | 2000 10th Ave Suite 150, Columbus, GA 31901 | 2007-01-04 |
| 1407924053 | Southern Indiana Urologic Clinic,llc | Urology | 2475 N Park Dr Ste 10, Columbus, IN 47203-2215 | 2006-12-01 |
| 1194806687 | Philip T. Schley | Urology | 2808 18th Ave, Columbus, GA 31901-1251 | 2006-10-18 |
| 1194811182 | Eric S. Ward | Urology | 500 Thomas Ln Ste 3g, Columbus, OH 43214-1419 | 2006-10-05 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.