| Ohio State University - Cap | |
|
3870 Townsfair Way # 103-b Columbus OH 43219-6173 | |
| (888) 663-6331 | |
| (415) 252-7176 |
| Full Name | Ohio State University - Cap |
|---|---|
| Speciality | Internal Medicine |
| Location | 3870 Townsfair Way # 103-b, Columbus, Ohio |
| Authorized Official Name and Position | Anne Smith (DIRECTOR, CORPORATE CREDENTIALING) |
| Authorized Official Contact | 6142937444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio State University - Cap 700 Ackerman Rd Ste 2120 Columbus OH 43202-1559 Ph: (614) 685-4601 | Ohio State University - Cap 3870 Townsfair Way # 103-b Columbus OH 43219-6173 Ph: (888) 663-6331 |
| NPI Number | 1689632515 |
|---|---|
| Provider Enumeration Date | 05/02/2006 |
| Last Update Date | 10/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689632515 | NPI | - | NPPES |
| 2043158 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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