| Stephen Nogan | |
|
7706 Olentangy River Rd Columbus OH 43235-1317 | |
| (614) 436-8888 | |
| Not Available |
| Full Name | Stephen Nogan |
|---|---|
| Speciality | Otolaryngology |
| Location | 7706 Olentangy River Rd, Columbus, Ohio |
| Authorized Official Name and Position | Kaylee Reau (OFFICE MANAGER) |
| Authorized Official Contact | 6144368888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Nogan Po Box 382 Granville OH 43023-0382 Ph: (614) 436-8888 | Stephen Nogan 7706 Olentangy River Rd Columbus OH 43235-1317 Ph: (614) 436-8888 |
| NPI Number | 1851135594 |
|---|---|
| Provider Enumeration Date | 06/19/2024 |
| Last Update Date | 09/16/2024 |
| Medicare PECOS PAC ID | 3375083686 |
|---|---|
| Medicare Enrollment ID | O20240912002016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851135594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | (* (Not Available)) | Primary |
| Provider Name | Stephen J Nogan |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1285922179 PECOS PAC ID: 2264660224 Enrollment ID: I20160922002709 |
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