Healthcare Provider Details

I. General information

NPI: 1366855165
Provider Name (Legal Business Name): CHRYSTAL WEBB M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRYSTAL MICHELLE WEBB

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

395 W 12TH AVE
COLUMBUS OH
43210-1267
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-8315
  • Fax: 614-293-6935
Mailing address:
  • Phone: 614-293-8315
  • Fax: 614-293-6935

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35.144562
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number35.144562
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: