Healthcare Provider Details

I. General information

NPI: 1497105936
Provider Name (Legal Business Name): PATRICK TIROP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2016
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 ROCHE DR STE 260B
COLUMBUS OH
43229-3232
US

IV. Provider business mailing address

4868 BLACK SYCAMORE DR
COLUMBUS OH
43231-4500
US

V. Phone/Fax

Practice location:
  • Phone: 614-447-7614
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0040917
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License NumberPN.159381-M-IV
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.470395
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: