CAPITAL CITY NEUROSURGERY LLC (NPI# 1346590445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346590445 |
| Entity Type | Organization |
| Organization Name | CAPITAL CITY NEUROSURGERY LLC |
| Practice Address |
3600 Olentangy River Rd Bldg 480 Columbus OH 43214-3437 |
| Practice Telephone | 6143001105 |
| Practice Fax Number | 6146788851 |
| Mailing Telephone | 6143001105 |
| Mailing Fax Number | 6146788851 |
| Enumeration Date | 2012-09-16 |
| Last Update Date | 2015-03-11 |
| Authorized Official Name | DR. KELLY JIYONG KIEHM (PRESIDENT) |
| Authorized Official Telephone | 6143001105 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 35-080525 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2647112 | 05 |
| Street Address |
3600 OLENTANGY RIVER RD BLDG 480 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43214-3437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942298476 | Ralph G Rohner Jr Md Inc | Orthopaedic Surgery | 3600 Olentangy River Rd, Ste C 1, Columbus, OH 43214-3437 | 2005-10-10 |
| 1700268018 | Jennifer Hannon | Nurse Practitioner | 3600 Olentangy River Rd, Ste C2, Columbus, OH 43214-3437 | 2015-06-23 |
| 1215317201 | Jamie Bourn | Nurse Practitioner | 3600 Olentangy River Rd, Ste C2, Columbus, OH 43214-3437 | 2015-06-04 |
| 1821422742 | Susan June Saunders | Registered Nurse | 3600 Olentangy River Rd, Building A, Columbus, OH 43214-3437 | 2013-08-27 |
| 1609212323 | David G Austin Dds Inc | Durable Medical Equipment & Medical Supplies | 3600 Olentangy River Rd, Suite B-1, Columbus, OH 43214-3437 | 2013-05-21 |
| 1154660348 | Schumacher and Bauer Dds LLC | Dental Hygienist | 3600 Olentangy River Rd, Suite 500b, Columbus, OH 43214-3437 | 2013-02-07 |
| 1710222872 | Creative Smiles Inc | Dentist | 3600 Olentangy River Rd, Suite #483-a, Columbus, OH 43214-3437 | 2012-11-30 |
| 1285940700 | Melissa T Lee | Obstetrics & Gynecology | 3600 Olentangy River Rd, Building A, Columbus, OH 43214-3437 | 2010-08-21 |
| 1316274434 | Amedisys Ohio LLC | Home Health | 3600 Olentangy River Rd, Suite A, Building 480, Columbus, OH 43214-3437 | 2009-11-10 |
| 1821249467 | Columbus Mammography Center Inc | Clinic/Center | 3600 Olentangy River Rd, Suite 500, Columbus, OH 43214 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145070 | The Smile Method LLC | Dentist | 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 | 2020-08-21 |
| 1083175681 | Mahima Venkatesh Prasad | Student in an Organized Health Care Education/Training Program | 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 | 2019-03-27 |
| 1346737988 | Julie Jackson | Occupational Therapist | 214 Westwood Rd, Columbus, OH 43214 | 2018-04-19 |
| 1942703830 | A1 Nursing Solution,llc | Nursing Care | 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 | 2018-03-16 |
| 1699280024 | Darlene R Britford | Social Worker | 3770 N. High Street, Columbus, OH 43214 | 2017-12-07 |
| 1194235739 | Molly Luckner | Social Worker | 3763 N High St., Ste A, Columbus, OH 43214 | 2017-10-10 |
| 1700395357 | Deidre Monique Radford | Peer Specialist | 3770 North High St., Columbus, OH 43214 | 2017-09-27 |
| 1154844884 | Beth Balog | Pharmacist | 513 Arden Rd, Columbus, OH 43214 | 2017-07-25 |
| 1164951430 | Raad Bin Zakir Chowdhury | Student in an Organized Health Care Education/Training Program | 3595 Olentangy River Road, Columbus, OH 43214 | 2017-06-08 |
| 1841734787 | Joel Franck | Counselor | 3620 High Street, Suite 107, Columbus, OH 43214 | 2016-12-12 |
| Find all providers in zip 43214 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346875812 | Anna Stroud | Neurological Surgery | 393 E Town St Ste 110, Columbus, OH 43215-4741 | 2020-03-05 |
| 1427504752 | Ranjit Ganguly | Neurological Surgery | 410 W 10th Ave # 10, Columbus, OH 43210-1240 | 2016-08-28 |
| 1053667303 | David Lee Dornbos IIi | Neurological Surgery | 57 Clark Pl, Columbus, OH 43201-2462 | 2012-07-24 |
| 1295033439 | Edward Stephan Sadar | Neurological Surgery | 992 Jaeger St, Columbus, OH 43206-2625 | 2011-03-12 |
| 1487979431 | Areeporn Chonhenchob | Neurological Surgery | 484 Stinchcomb Dr, Apt.11, Columbus, OH 43202-1767 | 2010-04-01 |
| 1629290697 | Alok M Chaudhari | Neurological Surgery | 5131 Beacon Hill Rd Ste 210a, Columbus, OH 43228-4442 | 2007-05-02 |
| 1174685101 | Michael Wren Gorum | Neurological Surgery | 1538 13th. Ave., Suite B300, Columbus, GA 31901-3700 | 2006-12-15 |
| 1083238000 | Ziyad A Makoshi | Neurological Surgery | 700 Childrens Dr, Columbus, OH 43205-2639 | 2020-06-05 |
| 1437770914 | James Michael Mossner | Neurological Surgery | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-05-06 |
| 1578022125 | Francesco Sammartino | Neurological Surgery | 480 Medical Center Dr, Columbus, OH 43210-1229 | 2019-03-13 |
| 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.