Healthcare Provider Details

I. General information

NPI: 1497998868
Provider Name (Legal Business Name): KRISTEN TRUXAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: KRISTEN BAIN M.D.

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 11/19/2024
Certification Date: 11/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDRENS DR
COLUMBUS OH
43205-2664
US

IV. Provider business mailing address

700 CHILDRENS DR C/O NATIONWIDE CHILDREN'S HOSPITAL, DEPT. OF GENETICS
COLUMBUS OH
43205-2664
US

V. Phone/Fax

Practice location:
  • Phone: 614-722-3535
  • Fax: 614-722-3546
Mailing address:
  • Phone: 614-722-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.121648
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207SG0201X
TaxonomyClinical Genetics (M.D.) Physician
License Number351219648
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: