Healthcare Provider Details

I. General information

NPI: 1508818998
Provider Name (Legal Business Name): JOHN PAUL TZAGOURNIS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E BROAD ST 2ND FLOOR
COLUMBUS OH
43215-3946
US

IV. Provider business mailing address

700 ACKERMAN RD SUITE 385
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-458-1183
  • Fax: 614-458-1184
Mailing address:
  • Phone: 614-947-3700
  • Fax: 614-947-3771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number35078868
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: