Healthcare Provider Details

I. General information

NPI: 1750609970
Provider Name (Legal Business Name): ROOPAN ELIZABETH FARRIS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6515 PULLMAN DRIVE
LEWIS CENTER OH
43035
US

IV. Provider business mailing address

700 ACKERMAN RD STE 2120
COLUMBUS OH
43202-1559
US

V. Phone/Fax

Practice location:
  • Phone: 614-688-7150
  • Fax: 614-688-7155
Mailing address:
  • Phone: 614-293-5123
  • Fax: 614-293-4890

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.128935
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.128935
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: