Active NPI 1174675268 Individual Practitioner Male Practitioner

Dr. Kristopher Mark Hanson , MD

Internal Medicine • Dublin, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kristopher Hanson, MD is a certified Internal Medicine practicing in Dublin, OH. With approximately 21 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 2005, Dr. Hanson delivers high-quality medical care to the local community at 6397 EMERALD PKWY STE 100.

Dr. Hanson is affiliated with Central Ohio Primary Care Physicians, Inc. and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, blood test, basic group of blood chemicals (calcium, total), complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6397 Emerald Pkwy Ste 100

Dublin, OH 430162231

Telephone 6147641777

Fax 6147649555

Associated Practice Facility / Clinic

🏢 Integrated Pain Solutions Incorporated Facility NPI 1417522103

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Dublin, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +0.4 yrs vs City Avg

City Avg: 20.6 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

48 Specialists

Practicing in Dublin, OH (5516 Statewide)

Telehealth Adoption Rate

45.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

42.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hanson (21 Years) 21 Yrs

Dublin Specialty Average (20.6 Years) 20.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	438	277	$13.00	$8.63
80048 Blood test, basic group of blood chemicals (calcium, total)	397	267	$22.00	$8.27
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	334	265	$16.00	$7.59
80076 Liver function blood test panel	301	254	$20.00	$8.01
80061 Blood test, lipids (cholesterol and triglycerides)	291	244	$36.00	$13.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	262	262	$181.47	$122.02
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	165	$170.00	$119.74
99213 Established patient office or other outpatient visit, typically 15 minutes	191	145	$120.00	$85.40
83036 Hemoglobin A1C level	156	103	$23.00	$9.46
G0103 Prostate cancer screening; prostate specific antigen test (psa)	94	94	$44.00	$18.92
90662 Influenza vaccine split virus, preservative free	89	88	$105.00	$81.49
G0008 Administration of influenza virus vaccine	89	88	$44.27	$30.40
81003 Automated urinalysis test	75	71	$16.00	$2.20
82570 Creatinine level to test for kidney function or muscle injury	75	45	$28.00	$5.08
82043 Urine microalbumin (protein) level	75	45	$31.00	$5.66
84443 Blood test, thyroid stimulating hormone (TSH)	63	49	$35.00	$16.46
84439 Thyroxine (thyroid chemical), free	56	42	$22.00	$8.84
82306 Vitamin d-3 level	55	52	$70.00	$29.01
83540 Iron level	37	22	$15.00	$6.34
83550 Iron binding capacity	37	22	$18.00	$8.57
93000 Routine ekg using at least 12 leads including interpretation and report	30	30	$75.00	$13.39
69210 Removal of impacted ear wax	29	27	$83.00	$45.15
G0009 Administration of pneumococcal vaccine	27	27	$45.00	$30.45
99495 Transitional care management services for problem of at least moderate complexity	27	22	$268.52	$193.65
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	27	27	$410.00	$290.04
82728 Ferritin (blood protein) level	27	17	$29.00	$13.36
87088 Bacterial urine culture	22	19	$22.00	$7.93
84153 Psa (prostate specific antigen) measurement, total	21	18	$44.00	$18.02
82607 Cyanocobalamin (vitamin B-12) level	17	17	$70.00	$14.78
84154 Psa (prostate specific antigen) measurement, free	16	15	$85.00	$18.02
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$284.00	$155.31
81002 Urinalysis, manual test	14	12	$9.00	$3.41
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	14	14	$22.86	$14.59
87637 Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus	12	12	$200.00	$139.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
80048 Blood test, basic group of blood chemicals (calcium, total)	377	259	$22.00	$8.27
36415 Insertion of needle into vein for collection of blood sample	335	228	$13.00	$8.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	312	251	$16.00	$7.59
80076 Liver function blood test panel	296	248	$20.00	$8.00
80061 Blood test, lipids (cholesterol and triglycerides)	269	232	$36.00	$13.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	250	250	$175.00	$122.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	201	139	$170.00	$120.88
99213 Established patient office or other outpatient visit, typically 15 minutes	165	126	$120.00	$84.66
83036 Hemoglobin A1C level	137	92	$23.00	$9.48
G0008 Administration of influenza virus vaccine	112	112	$32.00	$29.36
90662 Influenza vaccine split virus, preservative free	110	110	$105.00	$71.93
G0103 Prostate cancer screening; prostate specific antigen test (psa)	87	87	$44.00	$18.50
84443 Blood test, thyroid stimulating hormone (TSH)	85	73	$35.00	$16.46
82570 Creatinine level to test for kidney function or muscle injury	64	41	$28.00	$5.02
82043 Urine microalbumin (protein) level	64	41	$31.00	$5.59
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	63	63	$410.00	$281.81
G0009 Administration of pneumococcal vaccine	63	63	$45.00	$29.36
84439 Thyroxine (thyroid chemical), free	56	46	$22.00	$8.84
82306 Vitamin d-3 level	52	51	$70.00	$29.01
85610 Blood test, clotting time	41	13	$15.00	$4.20
99495 Transitional care management services for problem of at least moderate complexity	37	28	$260.95	$193.44
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$74.83	$13.71
83550 Iron binding capacity	23	17	$18.00	$8.57
83540 Iron level	23	17	$15.00	$6.34
81003 Automated urinalysis test	22	22	$16.00	$2.20
84153 Psa (prostate specific antigen) measurement, total	19	14	$44.00	$18.02
87088 Bacterial urine culture	19	16	$22.00	$7.93
81001 Manual urinalysis test with examination using microscope, automated	17	14	$10.00	$3.11
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	15	15	$284.00	$157.52
82607 Cyanocobalamin (vitamin B-12) level	15	15	$70.00	$14.78
83970 Parathormone (parathyroid hormone) level	13	13	$125.00	$38.85
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$69.00	$13.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$235.64	$160.42
69210 Removal of impacted ear wax	11	11	$83.00	$45.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	386	248	$12.20	$2.96
80048 Blood test, basic group of blood chemicals (calcium, total)	382	260	$22.00	$8.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	302	249	$16.00	$7.61
80076 Liver function blood test panel	284	239	$20.00	$8.06
99213 Established patient office or other outpatient visit, typically 15 minutes	254	177	$117.64	$86.36
80061 Blood test, lipids (cholesterol and triglycerides)	252	210	$36.00	$13.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	224	224	$175.00	$125.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	127	$166.98	$122.41
83036 Hemoglobin A1C level	143	87	$23.00	$9.59
G0008 Administration of influenza virus vaccine	127	127	$32.00	$27.95
90662 Influenza vaccine split virus, preservative free	126	126	$104.78	$68.51
84443 Blood test, thyroid stimulating hormone (TSH)	108	92	$35.00	$16.56
G0103 Prostate cancer screening; prostate specific antigen test (psa)	81	81	$44.00	$18.59
82570 Creatinine level to test for kidney function or muscle injury	67	44	$28.00	$5.05
82043 Urine microalbumin (protein) level	67	44	$31.00	$5.63
G0009 Administration of pneumococcal vaccine	49	49	$45.00	$27.98
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	47	47	$407.45	$278.17
84439 Thyroxine (thyroid chemical), free	40	31	$22.00	$8.89
93000 Routine ekg using at least 12 leads including interpretation and report	35	34	$75.00	$13.81
82306 Vitamin d-3 level	33	33	$70.00	$29.19
81001 Manual urinalysis test with examination using microscope, automated	24	22	$10.00	$3.00
82607 Cyanocobalamin (vitamin B-12) level	21	20	$70.00	$14.92
99495 Transitional care management services for problem of at least moderate complexity	18	17	$250.83	$188.03
83540 Iron level	18	14	$15.00	$6.39
83550 Iron binding capacity	18	14	$18.00	$8.63
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$284.00	$161.21
71046 X-ray of chest, 2 views	17	16	$70.00	$21.60
83970 Parathormone (parathyroid hormone) level	16	16	$125.00	$40.79
69210 Removal of impacted ear wax	15	15	$88.53	$46.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$223.67	$162.14
0124A Fee covid-19 vac 13 res	13	13	$50.00	$36.91
81003 Automated urinalysis test	13	12	$16.00	$2.21
87088 Bacterial urine culture	13	13	$22.00	$7.99
84153 Psa (prostate specific antigen) measurement, total	12	11	$44.00	$18.18
69209 Removal of impacted ear wax by washing	12	12	$37.50	$15.30
0054A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, tris-sucrose formulation; booster dose	12	12	$50.00	$37.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	370	240	$11.00	$2.99
80048 Blood test, basic group of blood chemicals (calcium, total)	354	242	$22.00	$8.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	280	222	$16.00	$7.72
99213 Established patient office or other outpatient visit, typically 15 minutes	258	178	$114.50	$84.99
80076 Liver function blood test panel	248	215	$20.00	$8.12
80061 Blood test, lipids (cholesterol and triglycerides)	228	191	$36.00	$13.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$172.49	$130.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	191	124	$161.49	$121.65
83036 Hemoglobin A1C level	128	74	$23.00	$9.57
G0008 Administration of influenza virus vaccine	112	112	$32.00	$16.19
90662 Influenza vaccine split virus, preservative free	111	111	$77.00	$65.26
G0103 Prostate cancer screening; prostate specific antigen test (psa)	78	78	$44.00	$19.31
82306 Vitamin d-3 level	67	64	$70.00	$29.19
84443 Blood test, thyroid stimulating hormone (TSH)	66	60	$35.00	$16.80
85610 Blood test, clotting time	60	15	$15.00	$4.29
82570 Creatinine level to test for kidney function or muscle injury	55	33	$28.00	$5.09
82043 Urine microalbumin (protein) level	55	33	$31.00	$5.68
0064A Adm sarscov2 50mcg/0.25mlbst	37	37	$50.00	$37.98
93000 Routine ekg using at least 12 leads including interpretation and report	33	30	$75.00	$14.47
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$158.59	$125.36
G0009 Administration of pneumococcal vaccine	32	32	$45.00	$16.18
99495 Transitional care management services for problem of at least moderate complexity	25	20	$250.00	$201.39
0003A Adm sarscov2 30mcg/0.3ml 3rd	23	23	$50.00	$37.98
83970 Parathormone (parathyroid hormone) level	23	20	$125.00	$41.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$219.65	$165.58
82607 Cyanocobalamin (vitamin B-12) level	22	20	$70.00	$14.39
82746 Folic acid level	22	20	$67.00	$14.03
83540 Iron level	22	14	$15.00	$6.47
83550 Iron binding capacity	22	14	$18.00	$8.74
87088 Bacterial urine culture	22	18	$22.00	$8.09
82728 Ferritin (blood protein) level	22	14	$29.00	$13.63
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	19	17	$75.00	$51.31
81001 Manual urinalysis test with examination using microscope, automated	19	16	$10.00	$3.17
84439 Thyroxine (thyroid chemical), free	17	15	$22.00	$9.02
71046 X-ray of chest, 2 views	13	12	$70.00	$21.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$282.00	$218.99
69209 Removal of impacted ear wax by washing	12	12	$32.50	$14.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	275	192	$11.00	$2.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	164	$143.49	$87.84
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	209	179	$16.00	$7.73
80048 Blood test, basic group of blood chemicals (calcium, total)	194	160	$22.00	$8.46
80061 Blood test, lipids (cholesterol and triglycerides)	188	167	$36.00	$13.33
99213 Established patient office or other outpatient visit, typically 15 minutes	180	117	$99.00	$56.75
80076 Liver function blood test panel	132	126	$20.00	$8.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	131	131	$165.00	$113.74
G0008 Administration of influenza virus vaccine	121	119	$32.00	$16.06
90662 Influenza vaccine split virus, preservative free	119	117	$70.00	$60.72
85610 Blood test, clotting time	91	14	$15.00	$4.27
83036 Hemoglobin A1C level	89	63	$23.00	$9.67
82306 Vitamin d-3 level	83	79	$70.00	$29.37
G0103 Prostate cancer screening; prostate specific antigen test (psa)	68	68	$44.00	$19.20
80053 Blood test, comprehensive group of blood chemicals	61	60	$25.00	$10.39
84443 Blood test, thyroid stimulating hormone (TSH)	50	44	$35.00	$16.73
82570 Creatinine level to test for kidney function or muscle injury	37	34	$28.00	$5.16
82043 Urine microalbumin (protein) level	37	34	$31.00	$5.76
G0009 Administration of pneumococcal vaccine	36	36	$45.00	$16.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	35	35	$150.00	$118.32
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	27	25	$75.00	$51.31
93793 Anticoagulant management of patient taking warfarin	26	11	$22.00	$11.59
93000 Routine ekg using at least 12 leads including interpretation and report	24	23	$75.00	$16.66
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	23	23	$36.00	$14.63
69209 Removal of impacted ear wax by washing	22	21	$42.27	$15.82
83970 Parathormone (parathyroid hormone) level	14	13	$125.00	$41.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$216.00	$162.70
87088 Bacterial urine culture	14	13	$22.00	$8.06
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$284.00	$164.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	355	172	$105.56	$72.13
99239 Hospital discharge day management, more than 30 minutes	79	78	$150.00	$104.68
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	53	39	$141.00	$103.13
99217 Hospital observation care on day of discharge	37	36	$105.00	$72.11
99225 Subsequent observation care, typically 25 minutes per day	36	25	$97.00	$72.46
99220 Hospital observation care, typically 70 minutes	17	17	$253.00	$184.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$275.00	$200.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	272	133	$103.00	$71.31
99239 Hospital discharge day management, more than 30 minutes	72	72	$144.08	$105.07
99217 Hospital observation care on day of discharge	53	53	$98.13	$71.28
99220 Hospital observation care, typically 70 minutes	45	45	$253.00	$182.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$256.74	$198.90
99225 Subsequent observation care, typically 25 minutes per day	23	22	$90.00	$71.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	13	$141.00	$102.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	376	194	$103.00	$70.12
99239 Hospital discharge day management, more than 30 minutes	100	100	$144.00	$102.73
99217 Hospital observation care on day of discharge	68	67	$98.00	$70.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	64	32	$141.00	$101.82
99220 Hospital observation care, typically 70 minutes	39	39	$253.00	$178.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$255.00	$190.62
99225 Subsequent observation care, typically 25 minutes per day	20	16	$90.00	$71.06
99219 Hospital observation care, typically 50 minutes	12	12	$198.00	$132.53
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$130.00	$99.15

Medical Specialties & State Licenses

CMS Verified: 2026-06-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.091229

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2844444 (OH)

Hospital & Practice Group Affiliations

Central Ohio Primary Care Physicians, Inc.

4885 Olentangy River Rd, Columbus, OH 432141953

Central Ohio Primary Care Physicians, Inc.

4885 Olentangy River Rd, Columbus, OH 432141952

Phone: 6143265665

Central Ohio Primary Care Physicians, Inc.

4885 Olentangy River Rd, Columbus, OH 432141993

Central Ohio Primary Care Physicians, Inc.

655 Africa Rd, Westerville, OH 430829808

Phone: 6144479495

Central Ohio Primary Care Physicians, Inc.

625 Africa Rd, Westerville, OH 430820002

Central Ohio Primary Care Physicians, Inc.

5070 Bradenton Ave, Dublin, OH 430173520

Phone: 6147641777

Central Ohio Primary Care Physicians, Inc.

4895 Olentangy River Rd, Columbus, OH 432141185

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

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Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location June 15, 2026

Registered at 6397 EMERALD PKWY STE 100, DUBLIN, OH 430162231 (Tel: 6147641777)

📍

Updated Business Mailing Address June 15, 2026

Registered at 6397 EMERALD PKWY STE 100, DUBLIN, OH 430162231 (Tel: 6147641777)

👤

Provider Name / Credentials Updated June 15, 2026

Recorded as KRISTOPHER HANSON, MD

📍

Updated Practice Location December 04, 2019

Registered at 5070 BRADENTON AVE, DUBLIN, OH 430173520 (Tel: 6147641777)

📍

Updated Business Mailing Address December 04, 2019

Registered at 5070 BRADENTON AVE, DUBLIN, OH 430173520 (Tel: 6147641777)

✅

NPI Profile Active March 16, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 16, 2011

Registered at 3555 OLENTANGY RIVER RD, SUITE 1080, COLUMBUS, OH 432143912 (Tel: 6142688164)

📍

Updated Business Mailing Address March 16, 2011

Registered at 3555 OLENTANGY RIVER RD, SUITE 1080, COLUMBUS, OH 432143912 (Tel: 6142688164)

👤

Provider Name / Credentials Updated March 16, 2011

Recorded as KRISTOPHER HANSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2011

Internal Medicine (License #35.091229 in OH)

🟢

Initial NPI Registration & Enumeration January 17, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1174675268

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 17, 2007

Last Update: June 15, 2026

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6397 Emerald Pkwy Ste 100

Dublin, OH 430162231

Phone: 6147641777

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.