Healthcare Provider Details

I. General information

NPI: 1801569256
Provider Name (Legal Business Name): REBECCA J RONSLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2021
Last Update Date: 07/30/2021
Certification Date: 07/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CHILDREN'S DRIVE NEURO-ONCOLOGY
COLUMBUS OH
43205
US

IV. Provider business mailing address

626 LEHMAN ST APT 402
COLUMBUS OH
43206-2577
US

V. Phone/Fax

Practice location:
  • Phone: 614-355-1848
  • Fax:
Mailing address:
  • Phone: 604-230-0518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number35.142681
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: