Marissa C Grant, DO | |
410 W 10th Ave, Columbus, OH 43210-1240 | |
(614) 293-8487 | |
(614) 293-8153 |
Full Name | Marissa C Grant |
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Gender | Female |
Speciality | Anesthesiology |
Location | 410 W 10th Ave, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134784796 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | 0102206367 (Virginia) | Secondary |
207L00000X | Anesthesiology | 34.016761.MIL (Ohio) | Primary |
Entity Name | Osu Observation Medicine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407095052 PECOS PAC ID: 3375692270 Enrollment ID: O20090526000354 |
Mailing Address | Practice Location Address |
---|---|
Marissa C Grant, DO 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-8487 | Marissa C Grant, DO 410 W 10th Ave, Columbus, OH 43210-1240 Ph: (614) 293-8487 |
Dr. Matthew Lane Garvey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5151 Reed Rd, Suite 225-c, Columbus, OH 43220 Phone: 614-457-2306 Fax: 614-884-0776 | |
Rafal Kopanczyk, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Senthil Gopala Krishna, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 700 Childrens Drive, Section Of Anesthesiology, Columbus, OH 43205 Phone: 614-722-4200 Fax: 614-722-4203 | |
Manoj H. Iyer, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Alvaro R Camacho Ortega, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-8487 Fax: 614-293-8153 | |
Douglas E Yunker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 5151 Reed Rd, Suite 225-c, Columbus, OH 43220 Phone: 614-457-2306 Fax: 614-884-0776 | |
Nadia Salama Nathan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 410 West Tenth Ave, N429 Doan Hall, Columbus, OH 43210 Phone: 614-293-4705 Fax: 614-293-8153 |