MEDICARE: JOHN TYCHONIEVICH 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	207QG0300X	Geriatric Medicine (Family Medicine) Physician	121624	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

General Provider Information

NPI Number	:	1457589087
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN TYCHONIEVICH MD

Provider Business Mailing Address
First Line	:	5350 FRANTZ RD
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-4259
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2222 WELCOME PL
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-7813
Country	:	US
Telephone Number	:	614-533-6800
Fax Number	:	614-338-8735

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

Provider Enumeration Date	:	06/22/2009
Last Update Date	:	11/14/2013

Similar Medicare Providers

1073888749 — AMANDA MARIE WEBBER PA-C
Practice Location Address:

2222 WELCOME PL
COLUMBUS, OH
43209-7813

Practice Phone: 614-533-6800
Practice Fax: 614-338-8735

1427573161 — FARRYNN LYNN SHERIDAN MSN-FNP-C
Practice Location Address:

2222 WELCOME PL
COLUMBUS, OH
43209-7813

Practice Phone: 614-533-6800
Practice Fax:

1760002695 — MRS. NIKITA MARIE ANDERSON CNP
Practice Location Address:

2222 WELCOME PL
COLUMBUS, OH
43209-7813

Practice Phone: 614-338-8833
Practice Fax:

1770054728 — TYLER JOSEPH ZWAHLEN PA-C
Practice Location Address:

2222 WELCOME PL
BEXLEY, OH
43209-7813

Practice Phone: 614-533-6800
Practice Fax: 614-338-8735

1760124614 — NATALIE WALDORF DO
Practice Location Address:

2222 WELCOME PL
BEXLEY, OH
43209-7813

Practice Phone: 614-533-6800
Practice Fax: 614-338-8735

1396471306 — KANZA KHAN MBBS
Practice Location Address:

2222 WELCOME PL
BEXLEY, OH
43209-7813

Practice Phone: 614-533-6800
Practice Fax: 614-338-8735

Directions to “ JOHN TYCHONIEVICH 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.