MEDICARE: LESLIE C PILLOW MD

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	2084P0800X	Psychiatry Physician	35.144657	OH
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	35.144657	OH

General Provider Information

NPI Number	:	1649769316
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE C PILLOW MD

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-293-9600
Fax Number	:	614-293-1456

Provider Business Practice Location Address
First Line	:	181 TAYLOR AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43203-1779
Country	:	US
Telephone Number	:	614-293-9600
Fax Number	:	614-293-1456

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

Provider Enumeration Date	:	05/08/2018
Last Update Date	:	02/06/2026

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Directions to “ LESLIE C PILLOW MD” Practice Location

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