Healthcare Provider Details
I. General information
NPI: 1073262150
Provider Name (Legal Business Name): COLTON SCHWARZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
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
COLUMBUS OH
43205-2664
US
V. Phone/Fax
- Phone: 614-355-8730
- Fax:
- Phone: 614-722-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080S0010X |
| Taxonomy | Pediatric Sports Medicine Physician |
| License Number | 35.152941 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: