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NPI Code Detail

MEDICARE: TRENT HOWARD IVEY

MEDICARE: TRENT HOWARD IVEY
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
1363AS0400XSurgical Physician AssistantOH

General Provider Information

NPI Number : 1841949609
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRENT HOWARD IVEY
Provider Business Mailing Address
First Line : 1484 WORTHINGTON ROW DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43235-2048
Country : US
Telephone Number : 517-940-0460
Fax Number :
Provider Business Practice Location Address
First Line : 3535 OLENTANGY RIVER RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3908
Country : US
Telephone Number : 614-566-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2022
Last Update Date : 03/13/2026

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Directions to “ TRENT HOWARD IVEY ” Practice Location

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