MEDICARE: DR. STERLING WILLIAM HEDRICK 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	207RR0500X	Rheumatology Physician	35039963	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	311425166	OTHER	OH	FEDERAL GROUP TAX ID

General Provider Information

NPI Number	:	1174501936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STERLING WILLIAM HEDRICK M.D.

Provider Business Mailing Address
First Line	:	1211 DUBLIN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-1091
Country	:	US
Telephone Number	:	614-486-5200
Fax Number	:	614-486-9665

Provider Business Practice Location Address
First Line	:	1211 DUBLIN RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43215-1091
Country	:	US
Telephone Number	:	614-486-5200
Fax Number	:	614-486-9665

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

Provider Enumeration Date	:	01/03/2006
Last Update Date	:	11/09/2020

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