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NPI Code Detail

MEDICARE: CONNAUGHT BLOOD

MEDICARE: CONNAUGHT BLOOD
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
1208M00000XHospitalist Physician35.154222OH
2208000000XPediatrics Physician35.154222OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1124762604
Entity Type Code : Individual
Provider Name (Legal Business Name) : CONNAUGHT BLOOD
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number : 614-722-2000
Fax Number :
Provider Business Practice Location Address
First Line : 401 N EWING ST
Second Line :
City : LANCASTER
State : OH
Zip : 43130-3372
Country : US
Telephone Number : 740-687-6907
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2022
Last Update Date : 02/19/2026

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Directions to “ CONNAUGHT BLOOD ” Practice Location

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