MEDICARE: DR. DAVID RAND KIRTLAND 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
1	2085R0204X	Vascular & Interventional Radiology Physician	35.122654	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01604261	OTHER	OH	RAILROAD MEDICARE - MHCPI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386878155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID RAND KIRTLAND M.D.

Provider Business Mailing Address
First Line	:	100 E CAMPUS VIEW BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-4647
Country	:	US
Telephone Number	:	614-340-7747
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 E CAMPUS VIEW BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43235-4647
Country	:	US
Telephone Number	:	614-340-7747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2009
Last Update Date	:	04/21/2025

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Directions to “ DR. DAVID RAND KIRTLAND M.D.” Practice Location

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