| Organization Name: | EAST COLUMBUS ORTHOPEDIC MEDICINE & PAIN CENTER, INC |
| NPI Number: | 1205869088 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD MARTIN (PRESIDENT/OWNER) |
| Mailing Address: | 50 Mcnaughten Rd Suite 202 Columbus |
| State: | OH US |
| Postal Code: | 432132120 |
| Phone Number: | 6147599761 |
| Fax Number: | |
| NPI Enumeration Date: | 07/08/2006 |
| NPI Last Update Date: | 07/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204C00000X |
| License Number: | 34-003198 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine, Sports Medicine |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |