Provider Demographics
NPI:1295708246
Name:EAST COLUMBUS SURGERY CENTER LLC
Entity type:Organization
Organization Name:EAST COLUMBUS SURGERY CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHRMEISTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:260-760-9420
Mailing Address - Street 1:50 MCNAUGHTEN RD STE 102
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43213-2128
Mailing Address - Country:US
Mailing Address - Phone:614-864-6171
Mailing Address - Fax:614-864-7674
Practice Address - Street 1:50 MCNAUGHTEN ROAD
Practice Address - Street 2:STE 102
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213
Practice Address - Country:US
Practice Address - Phone:614-864-6171
Practice Address - Fax:614-864-7674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-09
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0573AS261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000185285OtherANTHEM
OH2174338Medicaid
OH2207374Medicaid
OH2174338Medicaid
OH2207374Medicaid