Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 35131849 | OH |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD039789 | DC |
NPI | 1376700773 |
---|---|
Provider Name | Dr. Andrew Shedden Neviaser |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43202-1552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 15/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0229682 | (05) | OH |