MEDICARE: RALPH G ROHNER JR MD INC

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	207X00000X	Orthopaedic Surgery Physician	35-02-7506	OH

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

General Provider Information

NPI Number	:	1942298476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RALPH G ROHNER JR MD INC

Provider Business Mailing Address
First Line	:	3600 OLENTANGY RIVER RD
Second Line	:	STE C 1
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3437
Country	:	US
Telephone Number	:	614-457-4422
Fax Number	:	614-451-7093

Provider Business Practice Location Address
First Line	:	3600 OLENTANGY RIVER RD
Second Line	:	STE C 1
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3437
Country	:	US
Telephone Number	:	614-457-4422
Fax Number	:	614-451-7093

Authorized Official
Title or Position	:	MD
Name	:	RALPH G ROHNER JR.
Credential	:	MD
Telephone Number	:	614-457-4422

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	10/19/2007

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