DR. COLLEEN M CEBULLA (NPI# 1144264334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144264334 |
| Entity Type | Individual |
| Full Name | DR. COLLEEN M CEBULLA |
| Credential | MD |
| Practice Address |
915 Olentangy River Rd Columbus OH 43212-3153 |
| Mailing Address |
700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 |
| Practice Telephone | 6142938116 |
| Practice Fax Number | 6142935315 |
| Mailing Telephone | 6142938116 |
| Mailing Fax Number | 6142935315 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 35093413 | OH | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | ME95873 | FL | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
35093413 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2995666 | 05 |
| Street Address |
915 OLENTANGY RIVER RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43212-3153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861486110 | Beatrice Yvette Brewington | Ophthalmology | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2005-09-01 |
| 1245839620 | Brandi Lynn Nixon | Nurse Practitioner | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2020-10-18 |
| 1174182950 | Jacqueline Benoit | Optometrist | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2019-06-06 |
| 1154987600 | Daniel Dieter Evans | Urology | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2019-05-10 |
| 1285106278 | Megan K. Busellato | Physician Assistant | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2019-01-02 |
| 1609364454 | Kimberly-ann O. Shipp | Nurse Practitioner | 915 Olentangy River Rd, Columbus, OH 43212 | 2018-04-27 |
| 1295246494 | Abby Elizabeth Williams | Physician Assistant | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2017-10-16 |
| 1104345578 | Sara Jo Harbison | Nurse Practitioner | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2017-09-16 |
| 1003349630 | Christopher David Brooks | Student in an Organized Health Care Education/Training Program | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2017-04-10 |
| 1679025373 | Nicholas M. Calvin | Physician Assistant | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2016-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891358156 | Sarah Christine Nyirjesy | Otolaryngology | Eye and Ear Institute, 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2019-04-22 |
| 1336626746 | Zachary Thomas | Chiropractor | 1857 Northwest Blvd., Annex, Columbus, OH 43212 | 2018-07-27 |
| 1336654961 | John Thomas Glacken | Social Worker | 1971 W 5th Ave Ste 2, Columbus, OH 43212 | 2017-12-05 |
| 1649796731 | Alisa Farkas LLC | Social Worker | 1943 W. 5th Ave., Columbus, OH 43212 | 2017-08-21 |
| 1003355900 | Abigail Erin Becker | Pharmacist | 1145 Olentangy River Road, Room 4200, Columbus, OH 43212 | 2017-02-13 |
| 1972959336 | Chen Lin | Otolaryngology | 915 Olentangy River Rd. Suite 4000, Columbus, OH 43212 | 2016-05-04 |
| 1679935316 | Antoine Eskander | Otolaryngology | 915 Olentangy River Road, Suite 4000, Osu Eye & Ear Institute, Columbus, OH 43212 | 2016-03-22 |
| 1043619554 | Susan Snodgrass | Marriage & Family Therapist | 1200 W 5th Ave, Ste 105, Columbus, OH 43212 | 2014-08-20 |
| 1275962987 | Shanequa Crawford | Home Health | 1350 W Th Avenue, Suite 14, Columbus, OHIO 43212 | 2013-11-03 |
| 1316283690 | The Ohio State University | General Acute Care Hospital | 915 Olentangy River Road, Suite 2140, Columbus, OH 43212 | 2012-12-14 |
| Find all providers in zip 43212 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427412550 | Rishi Singhal | Ophthalmology | 915 Olentangy River Rd, Columbus, OH 43212-3153 | 2016-04-05 |
| 1558781922 | Matthew Joon Young Byun | Ophthalmology | 262 Neil Ave Ste 220, Columbus, OH 43215-7310 | 2014-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043873763 | Kristen Nicole Thomas | Ophthalmology | 15299 Bagley Rd Ste 200, Cleveland, OH 44130-4809 | 2019-04-18 |
| 1801379797 | Tri-state Centers for Sight Inc | Ophthalmology | 5340 Rapid Run Rd Ste 2, Cincinnati, OH 45238-4260 | 2018-09-07 |
| 1669811774 | Alliance Retina | Ophthalmology | 5757 Monclova Rd Ste 11, Maumee, OH 43537-1863 | 2013-06-21 |
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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.