Healthcare Provider Details

I. General information

NPI: 1548784382
Provider Name (Legal Business Name): PAUL DAWSON MS, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2491 OLENTANGY RIVER RD
COLUMBUS OH
43210-1031
US

IV. Provider business mailing address

2491 OLENTANGY RIVER RD
COLUMBUS OH
43210-1031
US

V. Phone/Fax

Practice location:
  • Phone: 614-292-1165
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367H00000X
TaxonomyAnesthesiologist Assistant
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number004479
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: