Healthcare Provider Details

I. General information

NPI: 1972708006
Provider Name (Legal Business Name): THE JAMES CANCER HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4019 W DUBLIN GRANVILLE RD
DUBLIN OH
43017-1436
US

IV. Provider business mailing address

91 E ROYAL FOREST BLVD
COLUMBUS OH
43214-2123
US

V. Phone/Fax

Practice location:
  • Phone: 614-293-0066
  • Fax:
Mailing address:
  • Phone: 614-323-0627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License NumberNP-08372
License Number StateOH

VIII. Authorized Official

Name: MS. KATHRYN MARIE TODD
Title or Position: NURSE PRACTITIONER
Credential: N.P.
Phone: 614-293-0066