Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35082971 | OH |
N | 208600000X | Surgeon | 35082971 | OH |
Y | 2086S0120X | Pediatric Surgery | 35082971 | OH |
NPI | 1194775288 |
---|---|
Provider Name | Benedict C Nwomeh |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 06/09/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2432835 | (05) | OH |
H130960 | CGS - MEDICARE (01) | OH |
I02117 | (02) |