| Organization Name: | SPS18, LLC |
| NPI Number: | 1043614589 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOYCE A BEITZINGER (PRACTICE MANAGER) |
| Mailing Address: | 5175 Morse Rd Suite #300 Gahanna |
| State: | OH US |
| Postal Code: | 432301370 |
| Phone Number: | 6142454263 |
| Fax Number: | 6142454269 |
| NPI Enumeration Date: | 10/13/2014 |
| NPI Last Update Date: | 10/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207YS0123X |
| License Number: | 35081746 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Otolaryngology |
| Taxonomy Specialization: | Facial Plastic Surgery |
| Taxonomy Definition: | An otolaryngologist who specializes in facial plastic surgery. |