MEDICARE: DR. JUSTIN THOMAS DRUMMOND 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	208VP0000X	Pain Medicine Physician	35.120966	OH
2	207L00000X	Anesthesiology Physician	35.120966	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12738578	OTHER		CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821224767
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN THOMAS DRUMMOND M.D.

Provider Business Mailing Address
First Line	:	5500 N MEADOWS DR STE 120
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-7688
Country	:	US
Telephone Number	:	614-663-3501
Fax Number	:	614-663-3525

Provider Business Practice Location Address
First Line	:	5500 N MEADOWS DR STE 120
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-7688
Country	:	US
Telephone Number	:	614-663-3501
Fax Number	:

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

Provider Enumeration Date	:	06/05/2009
Last Update Date	:	09/30/2024

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Directions to “ DR. JUSTIN THOMAS DRUMMOND M.D.” Practice Location

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