Basic Information
| Provider Information | |||||||||
| NPI: | 1891750527 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | COLOMBO | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 EAST MAIN STREET | ||||||||
| Address2: | SUITE 220 | ||||||||
| City: | COLUMBUS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 43215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6142223369 | ||||||||
| FaxNumber: | 6142241208 | ||||||||
| Practice Location | |||||||||
| Address1: | 1164 E HOME RD | ||||||||
| Address2: | SUITE J | ||||||||
| City: | SPRINGFIELD | ||||||||
| State: | OH | ||||||||
| PostalCode: | 455032726 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373429260 | ||||||||
| FaxNumber: | 9373429262 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/18/2006 | ||||||||
| LastUpdateDate: | 12/31/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208800000X | 35081976 | OH | Y | Allopathic & Osteopathic Physicians | Urology |
No ID Information.