Basic Information
Provider Information
NPI: 1063917557
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REING
FirstName: ERIC
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CRNA
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 5151 REED RD STE 225C
Address2:  
City: COLUMBUS
State: OH
PostalCode: 432202553
CountryCode: US
TelephoneNumber: 6148840641
FaxNumber: 6148840776
Practice Location
Address1: 3535 OLENTANGY RIVER RD
Address2:  
City: COLUMBUS
State: OH
PostalCode: 43214
CountryCode: US
TelephoneNumber: 6145664919
FaxNumber: 6145666693
Other Information
ProviderEnumerationDate: 03/27/2018
LastUpdateDate: 06/06/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN.391139OHN Nursing Service ProvidersRegistered Nurse 
367500000XAPRN.CRNA.019703OHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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