Healthcare Provider Details

I. General information

NPI: 1821036732
Provider Name (Legal Business Name): CYNTHIA M VANEK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 05/04/2021
Certification Date: 05/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3525 OLENTANGY RIVER RD SUITE 6350
COLUMBUS OH
43214-3937
US

IV. Provider business mailing address

6665 LAKESIDE CIR W
WORTHINGTON OH
43085-2876
US

V. Phone/Fax

Practice location:
  • Phone: 614-734-3347
  • Fax: 614-265-2513
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number350769884V
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.076984
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: