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NPI Code Detail

MEDICARE: TY C WARD PA-C

MEDICARE:   TY C WARD  PA-C
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
1363A00000XPhysician Assistant50.001438RXOH

Other Identifiers

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

General Provider Information

NPI Number : 1932183415
Entity Type Code : Individual
Provider Name (Legal Business Name) : TY C WARD PA-C
Provider Business Mailing Address
First Line : 106 N MURRAY HILL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1524
Country : US
Telephone Number : 614-710-1496
Fax Number :
Provider Business Practice Location Address
First Line : 106 N MURRAY HILL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-1524
Country : US
Telephone Number : 614-710-1496
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2005
Last Update Date : 11/21/2022

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Directions to “ TY C WARD PA-C” Practice Location

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