Healthcare Provider Details

I. General information

NPI: 1891722914
Provider Name (Legal Business Name): MELINDA L PAVLECHKO PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 02/01/2024
Certification Date: 02/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7534 SAUNDERLANE RD
COLUMBUS OH
43235-1823
US

IV. Provider business mailing address

7534 SAUNDERLANE RD
COLUMBUS OH
43235-1823
US

V. Phone/Fax

Practice location:
  • Phone: 614-580-7036
  • Fax:
Mailing address:
  • Phone: 614-580-7036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number50.000202RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: