=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174150692
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | EVE NICOLE TRANCHITO MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/25/2020
-----------------------------------------------------
Last Update Date | 05/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 915 OLENTANGY RIVER RD STE 4000
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43212-3154
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-366-3687
-----------------------------------------------------
Fax | 614-293-9698
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11100 EUCLID AVE
-----------------------------------------------------
City | CLEVELAND
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44106-1716
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Y00000X
-----------------------------------------------------
Taxonomy Name | Otolaryngology Physician
-----------------------------------------------------
License Number | 35.153232
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------