Healthcare Provider Details

I. General information

NPI: 1750085312
Provider Name (Legal Business Name): CASEY HRIBAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2472 PUNDERSON DR
HILLIARD OH
43026-8663
US

IV. Provider business mailing address

2472 PUNDERSON DR
HILLIARD OH
43026-8663
US

V. Phone/Fax

Practice location:
  • Phone: 614-850-9868
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD496565
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: