EAST COLUMBUS ORAL SURGERY SPECIALISTS INC. (NPI# 1831543701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831543701 |
| Entity Type | Organization |
| Organization Name | EAST COLUMBUS ORAL SURGERY SPECIALISTS INC. |
| Other Organization Name | EAST COLUMBUS ORAL SURGERY SPECIALISTS |
| Practice Address |
6555 E Broad St. Columbus OH 43213 |
| Practice Telephone | 6144270400 |
| Practice Fax Number | 6144270735 |
| Mailing Telephone | 6144270400 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-04-18 |
| Authorized Official Name | DOUGLAS VON KAENEL (OWNER / SURGEON) |
| Authorized Official Telephone | 6144270400 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgery | 30023253 | OH | Allopathic & Osteopathic Physicians |
| Y | 204E00000X | Oral & Maxillofacial Surgery | 30022741 | OH | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| East Columbus Oral Surgery Specialists | Doing Business As Name - Organization |
| Street Address |
6555 E BROAD ST. |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 204E00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Oral & Maxillofacial Surgery |
| Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
| Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265855795 | Premier Interventional Pain of Ohio LLC | Oral & Maxillofacial Surgery | 793 W State St, Columbus, OH 43222-1551 | 2014-02-04 |
| 1699196022 | Premier Anesthesia of Ohio LLC | Oral & Maxillofacial Surgery | 793 W State St, Columbus, OH 43222-1551 | 2014-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1427209642 | Raquel Milagros Ulma | Oral & Maxillofacial Surgery | 3333 Burnet Ave, Ml 2020, Cincinnati, OH 45229 | 2008-10-07 |
| 1063549236 | Mill Creek Oral & Maxillofacial Surgery Associates Inc | Oral & Maxillofacial Surgery | 5437 Mahoning Ave Ste 12, Austintown, OH 44515-2421 | 2007-02-27 |
| 1376698753 | Douglas W. Wallace | Oral & Maxillofacial Surgery | 5188 Winton Rd, Fairfield, OH 45014-2900 | 2007-01-24 |
| 1316021363 | David R. Kimberly | Oral & Maxillofacial Surgery | 539 White Pond Drive, Suite C, Akron, OH 44320 | 2006-10-25 |
| 1912090291 | John Philip Neary | Oral & Maxillofacial Surgery | 571 Boston Mills Rd, Suite 100, Hudson, OH 44236-1112 | 2006-10-01 |
| 1891893673 | Donald P Lewis Jr. | Oral & Maxillofacial Surgery | 26300 Euclid Avenue, Suite 410, Euclid, OH 44132 | 2006-09-20 |
| 1982718490 | Michael B Lee | Oral & Maxillofacial Surgery | 7523 State Rd, Cincinnati, OH 45255-2438 | 2006-08-19 |
| 1841238417 | Lorain County Health & Dentistry | Oral & Maxillofacial Surgery | 1205 Broadway, Lorain, OH 44052-3409 | 2006-06-03 |
| 1538143508 | Mark L Billy | Oral & Maxillofacial Surgery | 5437 Mahoning Ave, Suite 12, Austintown, OH 44515-2437 | 2005-12-02 |
| Find all providers with the same taxonomy | ||||
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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.