DR. MATTHEW OLD (NPI# 1699891242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699891242 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW OLD |
| Credential | MD |
| Practice Address |
456 W 10th Ave Room 4024 Columbus OH 43210-1240 |
| Mailing Address |
915 Olentangy River Rd Suite 4000 Columbus OH 43212-3153 |
| Practice Telephone | 6142938074 |
| Practice Fax Number | 6142933193 |
| Mailing Telephone | 6142933470 |
| Mailing Fax Number | 6142937292 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2011-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 35.093436 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2958198 | 05 |
| Street Address |
456 W 10TH AVE ROOM 4024 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467458786 | Maria Christina Pruchnicki | Pharmacist | 456 W 10th Ave, # 1970a, Columbus, OH 43210-1240 | 2005-06-22 |
| 1184992356 | Jennifer L Hunnicutt | Emergency Medicine | 456 W 10th Ave, 4833 Cramblett Hall, Columbus, OH 43210 | 2011-12-02 |
| 1528349511 | Meenal Desai Sharkey | Emergency Medicine | 456 W 10th Ave, 4833 Cramblett Hall, Columbus, OH 43210-1240 | 2011-09-02 |
| 1033498373 | Eric Thomas Cummins | Emergency Medicine | 456 W 10th Ave, Columbus, OH 43210-1240 | 2011-08-04 |
| 1992091193 | Darren Woodruff | Student in an Organized Health Care Education/Training Program | 456 W 10th Ave, Ohio State University Medical Center, Columbus, OH 43210-1240 | 2011-06-26 |
| 1427349513 | Bernadette Francis Weisenberger | Clinical Nurse Specialist | 456 W 10th Ave, Department of Emergency Medicine 4800 Cramblett Hall, Columbus, OH 43210-1240 | 2011-04-25 |
| 1447553136 | Hilary Beth Yokley | Emergency Medicine | 456 W 10th Ave, 4833 Cramblett Hall, Columbus, OH 43210-1240 | 2010-12-18 |
| 1841591757 | Brian Abbott | Emergency Medicine | 456 W 10th Ave, Columbus, OH 43210-1240 | 2010-11-09 |
| 1053622431 | Cheryl Ann Huang | Clinical Nurse Specialist | 456 W 10th Ave, 4235a Cramblett Hall, Columbus, OH 43210-1240 | 2010-06-30 |
| 1225354830 | Ann Marie Smith | Registered Nurse | 456 W 10th Ave, 2256 Cramblett Clinic, Columbus, OH 43210-1240 | 2010-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| 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 |
| 1922562339 | Transcend Anesthesia, PC | Otolaryngology | 1655 N Gladstone Ave Ste E, Columbus, IN 47201-5380 | 2019-01-30 |
| 1215401013 | Osup Clinical Physicians, LLC | Otolaryngology | 543 Taylor Ave Ste 2115, Columbus, OH 43203-1278 | 2019-01-15 |
| 1023523610 | Family Ent Specialists, LLC | Otolaryngology | 3200 Sycamore Ct Ste 1d, Columbus, IN 47203-1545 | 2017-12-05 |
| 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 |
| 1336408608 | George P. Tkalych, M.d. P.C. | Otolaryngology | 1900 10th Avenue, Suite 201, Columbus, GA 31901-3600 | 2012-05-08 |
| 1588920748 | Spencer Eugene Lindsey | Otolaryngology | 700 Childrens Dr Dept Of, Columbus, OH 43205 | 2012-04-02 |
| 1811287063 | William Earl Cooper | Otolaryngology | 3632 Mockingbird Drive, Columbus, IN 47203-1335 | 2011-04-08 |
| 1023243771 | Allison K Royer | Otolaryngology | 2326 18th Street, Suite 230, Columbus, IN 47201 | 2009-05-26 |
| 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.