Healthcare Provider Details

I. General information

NPI: 1780189399
Provider Name (Legal Business Name): ERIKA L BASIL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2018
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

465 N CLEVELAND AVE STE 200
WESTERVILLE OH
43082-8642
US

IV. Provider business mailing address

465 N CLEVELAND AVE STE 200
WESTERVILLE OH
43082-8642
US

V. Phone/Fax

Practice location:
  • Phone: 614-899-0000
  • Fax: 614-899-0524
Mailing address:
  • Phone: 614-899-0000
  • Fax: 614-899-0524

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number34.014913
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: