MEDICARE: HAROLD EDGAR HESTAND 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	35037554	OH
2	2080P0204X	Pediatric Emergency Medicine (Pediatrics) Physician	35037554	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	:	1780674747
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAROLD EDGAR HESTAND MD

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	:	614-722-4380

Provider Business Practice Location Address
First Line	:	4363 ALL SEASONS DR STE 100
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-2050
Country	:	US
Telephone Number	:	614-355-5900
Fax Number	:

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

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	02/14/2022

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