Healthcare Provider Details

I. General information

NPI: 1023540556
Provider Name (Legal Business Name): MATTHEW JAMES FRANKLIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2017
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5175 MORSE RD STE 100
GAHANNA OH
43230-3458
US

IV. Provider business mailing address

5175 MORSE RD STE 100
GAHANNA OH
43230-3458
US

V. Phone/Fax

Practice location:
  • Phone: 614-454-4808
  • Fax: 614-454-4809
Mailing address:
  • Phone: 614-454-4808
  • Fax: 740-454-4809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number35.142674
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207ZD0900X
TaxonomyDermatopathology (Pathology) Physician
License Number35142674
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: