Basic Information
| Provider Information | |||||||||
| NPI: | 1982639597 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | COLUMBUS GENERAL SURGERY PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4508 38TH ST STE 250 | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | NE | ||||||||
| PostalCode: | 686011668 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025645333 | ||||||||
| FaxNumber: | 4025649372 | ||||||||
| Practice Location | |||||||||
| Address1: | 4508 38TH ST STE 250 | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | NE | ||||||||
| PostalCode: | 68601 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4025645333 | ||||||||
| FaxNumber: | 4025649372 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/12/2006 | ||||||||
| LastUpdateDate: | 08/20/2018 | ||||||||
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| AuthorizedOfficialLastName: | ERNST | ||||||||
| AuthorizedOfficialFirstName: | RONALD | ||||||||
| AuthorizedOfficialMiddleName: | L | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 4025645333 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Surgery |
No ID Information.