Healthcare Provider Details
I. General information
NPI: 1093976441
Provider Name (Legal Business Name): OLIVIA NOELLE WESTHOVEN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/18/2008
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
905 OLD DILEY RD
PICKERINGTON OH
43147-2113
US
IV. Provider business mailing address
7750 DILEY RD STE A
CANAL WINCHESTER OH
43110-7758
US
V. Phone/Fax
- Phone: 614-864-3222
- Fax: 613-863-7388
- Phone: 614-837-7337
- Fax: 614-837-7335
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 31.094833 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: