Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 35067713 | OH |
NPI | 1013900307 |
---|---|
Provider Name | Joel R. Politi |
First Address | Columbus, OH 43213-4491 |
Second Address | Columbus, OH 43213-4441 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 27/06/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000349504 | ANTHEM (01) | OH |
2198590 | (05) | OH |
4014164 | UNSPECIFIED (01) | OH |
7465086 | AETNA (01) | OH |
G93055 | (02) | OH |