OLEG KALSOW (NPI# 1275951972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275951972 |
| Entity Type | Individual |
| Full Name | OLEG KALSOW |
| Credential | D.M.D. |
| Practice Address |
300 Hospital Dr Ste 4 Columbus MS 39705 |
| Mailing Address |
110 Irving St Nw Dept of Oral and Maxillofacial Surgery Washington DC 20010-3017 |
| Practice Telephone | 6623232100 |
| Mailing Telephone | 2028775380 |
| Mailing Fax Number | 2028778439 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2018-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
PRV-FP-105-18 | MS | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Irving St Nw, Dept of Oral and Maxillofacial Surgery, Washington, DC 200103017 | 2028775380 | 2028778439 |
| Street Address |
300 HOSPITAL DR STE 4 |
| City | COLUMBUS |
| State | MS |
| Zip Code | 39705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306256276 | Cristina Ortiz-diaz | Dentist | 300 Hospital Dr Ste 4, Columbus, MS 39705-1921 | 2014-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255854527 | Kelly Christi Lovelace | Counselor | 428 24th Ave. North, Columbus, MS 39705 | 2017-07-19 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1093165714 | Holly Murphy | Audiologist | 2430 4th Street North, Columbus, MS 39705 | 2016-06-14 |
| 1982906509 | Gtrec, Inc. | Optometrist | 1913 Hwy. 45 N., Suite A, Columbus, MS 39705 | 2010-12-02 |
| 1295042919 | Emily Morgan Sesser | Nurse Practitioner | 4508 Hwy 45 N, Columbus, MS 39705 | 2010-09-01 |
| 1528298189 | Matthew Duane Williams | Internal Medicine | 2520 Fifth Street, North, Columbus, MS 39705 | 2009-07-16 |
| 1114156858 | Andrea Nicole Morris | Pediatrics | 2600 Fifth Street North, Columbus, MS 39705 | 2009-07-02 |
| 1124272307 | Paul J Scurti | Internal Medicine | 255 Baptist Blvd Ste 301, Columbus, MS 39705 | 2008-11-13 |
| 1073702171 | Heart To Heart Hospice of Columbus LLC | Hospice Care, Community Based | 2018 Hwy 45 N, Columbus, MS 39705 | 2007-10-15 |
| 1760692917 | Christina D Collins | Internal Medicine | 2600 Fifth Street, North, Columbus, MS 39705 | 2007-05-23 |
| Find all providers in zip 39705 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225543515 | Oral & Facial Surgery of East Alabama, LLC | Dentist | 4405 N Stadium Drive, Suite A, Columbus, GA 31909 | 2017-12-08 |
| 1497140719 | Chelsea Elizabeth Johnson | Dentist | 4405 N Stadium Dr Ste A, Columbus, GA 31909-1884 | 2015-04-02 |
| 1316176944 | Hany Emam | Dentist | 305 W 12th Ave Rm 2110, Columbus, OH 43210-1267 | 2009-07-02 |
| 1720222607 | Matthew Mcdonough | Dentist | 1501 Hilliard Rome Rd, Suite E, Columbus, OH 43228-9544 | 2009-04-23 |
| 1033389382 | Oral & Facial Surgery for Adults & Children LLC | Dentist | 1161 Bethel Rd Suite 303, Columbus, OH 43220-2775 | 2008-03-03 |
| 1003023870 | Columbus Oral & Maxillofacial Surgery PC | Dentist | 4405 N Stadium Dr, Suite A, Columbus, GA 31909-1878 | 2007-05-17 |
| 1629199526 | Rob S. Steiner | Dentist | 5350 E Main St, Columbus, OH 43213-2590 | 2007-04-02 |
| 1104982065 | William Frederick Schultz Jr. | Dentist | 2350 N Park Dr, Columbus, IN 47203-4466 | 2006-12-28 |
| 1437215308 | Phillip T Latham | Dentist | 4488 W Broad St, Columbus, OH 43228-5610 | 2006-12-28 |
| 1326123365 | Kent D Fischvogt | Dentist | 2350 Northpark, Columbus, IN 47203-4466 | 2006-10-26 |
| 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.