Healthcare Provider Details

I. General information

NPI: 1376536284
Provider Name (Legal Business Name): ARTHUR E PELLEGRINI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2005
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6882 OAKFAIR AVE
COLUMBUS OH
43235-2735
US

IV. Provider business mailing address

6882 OAKFAIR AVE
COLUMBUS OH
43235-2735
US

V. Phone/Fax

Practice location:
  • Phone: 614-668-0948
  • Fax:
Mailing address:
  • Phone: 614-668-0948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number35055850P
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: