Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 35091814 | OH |
Y | 207WX0107X | Retina Specialist | 35091814 | OH |
NPI | 1023199841 |
---|---|
Provider Name | Matthew Paul Ohr |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43212-3153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2006 |
Last Update Date | 21/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2889727 | (05) | OH |
P01515431 | RAILROAD MEDICARE (01) | OH |