Healthcare Provider Details

I. General information

NPI: 1194703645
Provider Name (Legal Business Name): FRANK BIRINYI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2006
Last Update Date: 12/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 MOUNT CARMEL MALL SUITE 300
COLUMBUS OH
43222
US

IV. Provider business mailing address

750 MOUNT CARMEL MALL SUITE 300
COLUMBUS OH
43222
US

V. Phone/Fax

Practice location:
  • Phone: 614-224-6420
  • Fax: 614-224-6423
Mailing address:
  • Phone: 614-224-6420
  • Fax: 614-224-6423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number35-051502
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: