| NPI | 1619230802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER HAINEY Credentialing Supervisor 614-544-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207N00000X Dermatology | |
| 207Q00000X Family Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 207ZP0101X Pathology, Anatomic Pathology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 208200000X Plastic Surgery | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 208600000X Surgery | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2024-10-17 |