Healthcare Provider Details

I. General information

NPI: 1437699386
Provider Name (Legal Business Name): JONATHAN GRANT SEFTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2017
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5131 BEACON HILL RD STE 310C
COLUMBUS OH
43228-4442
US

IV. Provider business mailing address

PO BOX 7527
DUBLIN OH
43017-0727
US

V. Phone/Fax

Practice location:
  • Phone: 614-788-3700
  • Fax: 614-878-7005
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number34.015121
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: