Healthcare Provider Details

I. General information

NPI: 1689082695
Provider Name (Legal Business Name): CHRISTOPHER PHILIP BARAN AGPCNP-BC, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2014
Last Update Date: 04/12/2022
Certification Date: 04/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 CLIME RD SUITE B
COLUMBUS OH
43228-3496
US

IV. Provider business mailing address

4310 CLIME RD SUITE B
COLUMBUS OH
43228-3496
US

V. Phone/Fax

Practice location:
  • Phone: 614-274-7799
  • Fax:
Mailing address:
  • Phone: 614-274-7799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberCOA.16274-NP
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberCOA.16274-NP
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberCOA.16274-NP
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: