Healthcare Provider Details

I. General information

NPI: 1154274629
Provider Name (Legal Business Name): KARIN PATRICIA SMALL WURAPA MD, MPH, FAAFP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KARIN PATRICIA SMALL MD, MPH, FAAFP

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 E BROAD ST
COLUMBUS OH
43215-4037
US

IV. Provider business mailing address

PO BOX 307313
GAHANNA OH
43230-7313
US

V. Phone/Fax

Practice location:
  • Phone: 614-219-9386
  • Fax:
Mailing address:
  • Phone: 614-219-9386
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.080779
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License Number35.080779
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code202D00000X
TaxonomyIntegrative Medicine Physician
License Number35.080779
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: