MEDICARE: RYAN CHADLER HEDGEPETH 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	208800000X	Urology Physician	036179116	IL
2	208800000X	Urology Physician	35.086048	OH

General Provider Information

NPI Number	:	1326225301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN CHADLER HEDGEPETH M.D.

Provider Business Mailing Address
First Line	:	4041 N HIGH ST STE 101
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3248
Country	:	US
Telephone Number	:	614-456-7822
Fax Number	:	800-620-7886

Provider Business Practice Location Address
First Line	:	4041 N HIGH ST STE 101
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43214-3248
Country	:	US
Telephone Number	:	614-456-7822
Fax Number	:	800-620-7886

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

Provider Enumeration Date	:	01/22/2008
Last Update Date	:	05/04/2026

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