Healthcare Provider Details

I. General information

NPI: 1982608642
Provider Name (Legal Business Name): CHARLES BARRY MAY D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2005
Last Update Date: 07/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MIRANOVA PLACE SUITE 1430
COLUMBUS OH
43215-7218
US

IV. Provider business mailing address

1 MIRANOVA PLACE SUITE 1430
COLUMBUS OH
43215-7218
US

V. Phone/Fax

Practice location:
  • Phone: 614-607-3101
  • Fax: 614-236-8490
Mailing address:
  • Phone: 614-607-3101
  • Fax: 614-236-8490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number34-00-2569-M
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: