Healthcare Provider Details

I. General information

NPI: 1831159110
Provider Name (Legal Business Name): DARYL D KASWINKEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 02/16/2022
Certification Date: 02/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MCNAUGHTEN RD STE 200
COLUMBUS OH
43213-2120
US

IV. Provider business mailing address

50 MCNAUGHTEN RD STE 200
COLUMBUS OH
43213-2120
US

V. Phone/Fax

Practice location:
  • Phone: 614-863-3937
  • Fax: 614-863-5010
Mailing address:
  • Phone: 614-863-3937
  • Fax: 614-863-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number35088802
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number0000025926
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: