Healthcare Provider Details

I. General information

NPI: 1871773309
Provider Name (Legal Business Name): LINDSAY MARIE MCBRIDE D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2007
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 OLENTANGY RIVER RD
COLUMBUS OH
43214-3908
US

IV. Provider business mailing address

3535 OLENTANGY RIVER RD
COLUMBUS OH
43214-3908
US

V. Phone/Fax

Practice location:
  • Phone: 614-566-5757
  • Fax: 614-566-2338
Mailing address:
  • Phone: 614-566-5757
  • Fax: 614-566-2338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberM5364
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number34.016159
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: