Healthcare Provider Details

I. General information

NPI: 1811208036
Provider Name (Legal Business Name): EMILY COLLEEN FARRIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2010
Last Update Date: 10/08/2020
Certification Date: 10/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 OLENTANGY RIVER RD
COLUMBUS OH
43214-3908
US

IV. Provider business mailing address

5151 REED RD STE 225C
COLUMBUS OH
43220-2553
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-4919
  • Fax:
Mailing address:
  • Phone: 614-884-0641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.122067
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number35.122067
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: