Healthcare Provider Details

I. General information

NPI: 1366146128
Provider Name (Legal Business Name): MAGGIE HEDRICK MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 COOPER RD STE 300
WESTERVILLE OH
43081-8057
US

IV. Provider business mailing address

477 COOPER RD STE 300
WESTERVILLE OH
43081-8057
US

V. Phone/Fax

Practice location:
  • Phone: 380-898-8808
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number35.156560
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: