Healthcare Provider Details

I. General information

NPI: 1093605420
Provider Name (Legal Business Name): MELISSA ROSE RATZEL PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1161 BETHEL RD STE 203204
COLUMBUS OH
43220-2773
US

IV. Provider business mailing address

1161 BETHEL RD STE 203204
COLUMBUS OH
43220-2773
US

V. Phone/Fax

Practice location:
  • Phone: 614-459-0350
  • Fax: 614-459-0355
Mailing address:
  • Phone: 614-459-0350
  • Fax: 614-459-0355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.009590RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: