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NPI Code Detail

MEDICARE: RYAN CHARLES RAUCK MD

MEDICARE: RYAN CHARLES RAUCK MD
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
1207X00000XOrthopaedic Surgery Physician35.142359OH

General Provider Information

NPI Number : 1073908984
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN CHARLES RAUCK MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-2663
Fax Number : 614-293-2053
Provider Business Practice Location Address
First Line : 6100 N HAMILTON RD STE 1B
Second Line :
City : WESTERVILLE
State : OH
Zip : 43081-2062
Country : US
Telephone Number : 614-293-2663
Fax Number : 614-293-2053
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 02/26/2026

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Directions to “ RYAN CHARLES RAUCK MD” Practice Location

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