OSU PLASTIC SURGERY, LLC (NPI# 1346533734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346533734 |
| Entity Type | Organization |
| Organization Name | OSU PLASTIC SURGERY, LLC |
| Practice Address |
915 Olentangy River Rd Suite 2100 Columbus OH 43212-3153 |
| Mailing Address |
700 Ackerman Rd Suite 570 Columbus OH 43202-1559 |
| Practice Telephone | 6142938566 |
| Practice Fax Number | 6142933381 |
| Mailing Telephone | 6146854601 |
| Mailing Fax Number | 6143663731 |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | DR. MICHAEL J. MILLER (DEPARTMENT CHAIR) |
| Authorized Official Telephone | 6142939885 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
Allopathic & Osteopathic Physicians | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | DS4045 | 01 |
| OH | 0053309 | 05 |
| Street Address |
915 OLENTANGY RIVER RD SUITE 2100 |
| 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 | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588919617 | Joseph Meyerson | Plastic Surgery | 915 Olentangy River Rd Ste 2100, Columbus, OH 43212-3154 | 2012-07-15 |
| 1760630974 | Shenita White | Plastic Surgery | 2430 Brookstone Centre Pkwy, Columbus, GA 31904-4501 | 2008-08-29 |
| 1255588810 | Michael Phillip Deperro IIi | Plastic Surgery | 1830 Bethel Rd Ste 200, Columbus, OH 43220-1809 | 2008-08-25 |
| 1184759557 | Gan Hok Bing | Plastic Surgery | 3600 Olentangy River Rd Ste 480, Columbus, OH 43214-3437 | 2007-02-23 |
| 1508946518 | Rafael Villalobos | Plastic Surgery | 1151 Bethel Rd Ste 101, Columbus, OH 43220-2775 | 2006-10-16 |
| 1629086665 | Mark C Preston | Plastic Surgery | 765 North Hamilton Rd, Suite 130, Columbus, OH 43230-8703 | 2006-08-04 |
| 1689607566 | Richard Harding Wilson | Plastic Surgery | 2200 North Ave, Columbus, GA 31904-8839 | 2006-07-07 |
| 1316938251 | Susan D Vasko | Plastic Surgery | 5005 Arlington Centre Blvd, Columbus, OH 43220-2912 | 2005-10-31 |
| 1558367839 | Bivik R Shah | Plastic Surgery | 6499 E Broad St, Ste 130, Columbus, OH 43213-6506 | 2005-06-22 |
| 1699770388 | Rajiv Y. Chandawarkar | Plastic Surgery | 181 Taylor Ave Fl 1, Columbus, OH 43203 | 2005-06-17 |
| 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.