Healthcare Provider Details

I. General information

NPI: 1467499640
Provider Name (Legal Business Name): PATRICK F SERYNEK DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 11/30/2021
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 CLEVELAND AVE SUITE 100
COLUMBUS OH
43231-8608
US

IV. Provider business mailing address

6200 CLEVELAND AVE SUIRE 100
COLUMBUS OH
43231-8608
US

V. Phone/Fax

Practice location:
  • Phone: 614-895-8747
  • Fax: 614-895-8810
Mailing address:
  • Phone: 614-895-8747
  • Fax: 614-895-8810

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number34008754
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: