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1275529075

NPI Code Detail

MEDICARE: ANN E PEMA MD

MEDICARE: ANN E PEMA 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
1	208000000X	Pediatrics Physician	35061833	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275529075
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN E PEMA MD

Provider Business Mailing Address
First Line	:	555 S 18TH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2696
Country	:	US
Telephone Number	:	614-722-4950
Fax Number	:	614-722-4966

Provider Business Practice Location Address
First Line	:	555 S 18TH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43205-2696
Country	:	US
Telephone Number	:	614-722-4950
Fax Number	:	614-722-4966

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

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	11/20/2008

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Directions to “ ANN E PEMA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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