Healthcare Provider Details

I. General information

NPI: 1811104268
Provider Name (Legal Business Name): JOANNA MAY BUELL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 01/03/2023
Certification Date: 01/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

921 JASONWAY AVE STE B
COLUMBUS OH
43214-2456
US

IV. Provider business mailing address

921 JASONWAY AVE STE B
COLUMBUS OH
43214-2456
US

V. Phone/Fax

Practice location:
  • Phone: 614-268-8800
  • Fax: 614-447-8876
Mailing address:
  • Phone: 614-268-8800
  • Fax: 614-447-8876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35.096103
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: