Healthcare Provider Details

I. General information

NPI: 1174501936
Provider Name (Legal Business Name): STERLING WILLIAM HEDRICK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2006
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 DUBLIN RD
COLUMBUS OH
43215-1091
US

IV. Provider business mailing address

1211 DUBLIN RD
COLUMBUS OH
43215-1091
US

V. Phone/Fax

Practice location:
  • Phone: 614-486-5200
  • Fax: 614-486-9665
Mailing address:
  • Phone: 614-486-5200
  • Fax: 614-486-9665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35039963
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: