Healthcare Provider Details

I. General information

NPI: 1588859748
Provider Name (Legal Business Name): GERALD J. GIRARDI, M.D.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2007
Last Update Date: 09/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

477 COOPER RD SUITE150
WESTERVILLE OH
43081-8053
US

IV. Provider business mailing address

477 COOPER RD SUITE150
WESTERVILLE OH
43081-8053
US

V. Phone/Fax

Practice location:
  • Phone: 614-865-7600
  • Fax: 614-891-3077
Mailing address:
  • Phone: 614-865-7600
  • Fax: 614-891-3077

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35046395
License Number StateOH

VIII. Authorized Official

Name: CARLA WELLS
Title or Position: PRACTICE MANAGER
Credential:
Phone: 614-865-7600