Unknown Individual – Physician Assistant, NPI 1710486485
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Martin Road, Dublin High Street Historic District, Dublin, Franklin, Ohio, 43017, United States
DUBLIN, OH 430172096
Phone: (614) 591-0167
Type: Mailing
545 METRO PL S STE 100
DUBLIN, OH 430175353
Phone: (210) 598-4277
Type: Location
1141 N LOOP 1604 E #105-612
SAN ANTONIO, TX 78232
Phone: (210) 598-4262
Type: Mailing
25 HIDDEN RAVINES DR
POWELL, OH 43065
Phone: (210) 598-4262
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 43017)
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