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NPI Code Detail

MEDICARE: STEPHEN JACOB NOGAN M.D.

MEDICARE: STEPHEN JACOB NOGAN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician35127495OH

General Provider Information

NPI Number : 1285922179
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN JACOB NOGAN M.D.
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-2594
Fax Number :
Provider Business Practice Location Address
First Line : 7706 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-1317
Country : US
Telephone Number : 614-366-8175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2011
Last Update Date : 02/22/2021

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