MEDICARE: DR. WILLIAM S PEASE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	35.047148	OH

General Provider Information

NPI Number	:	1033116827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM S PEASE M.D.

Provider Business Mailing Address
First Line	:	700 ACKERMAN RD STE 2120
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43202-1559
Country	:	US
Telephone Number	:	614-366-9211
Fax Number	:

Provider Business Practice Location Address
First Line	:	2050 KENNY RD STE 3300
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43221-3502
Country	:	US
Telephone Number	:	614-366-9216
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	12/03/2024

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Directions to “ DR. WILLIAM S PEASE M.D.” Practice Location

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