MS. DESIREE ETTALEE VAN DYNE


Address: 3535 Olentangy River Rd, Columbus, OH 43214-3908
Phone: 6145665283

MS. DESIREE ETTALEE VAN DYNE (NPI# 1528343613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528343613
Entity Type Individual
Full Name MS. DESIREE ETTALEE VAN DYNE
Credential PA
Practice Address 3535 Olentangy River Rd
Columbus
OH 43214-3908
Mailing Address 5450 Frantz Rd Ste 360
Dublin
OH 43016-4141
Practice Telephone 6145665283
Practice Fax Number 6145663638
Enumeration Date 2011-10-20
Last Update Date 2019-06-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 50.003418 OH Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3535 OLENTANGY RIVER RD
City COLUMBUS
State OH
Zip Code 43214-3908

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980891 Amy D Miracle Advanced Practice Midwife 3535 Olentangy River Rd, Columbus, OH 43214-3908 2005-05-23
1295333102 Amanda Rupert Student in an Organized Health Care Education/Training Program 3535 Olentangy River Rd, Columbus, OH 43214-3908 2020-10-13
1083228159 Laura Rae Skirtich Student in an Organized Health Care Education/Training Program 3535 Olentangy River Rd, Columbus, OH 43214-3908 2020-09-04
1285247460 Brittany Nicole Bourne Student in an Organized Health Care Education/Training Program 3535 Olentangy River Rd, Columbus, OH 43214-3908 2020-08-26
1356954614 Patrick Christopher Hartnett Nurse Practitioner 3535 Olentangy River Rd, Columbus, OH 43214-3998 2020-08-26
1235741380 Kathryn E Mckinnon Student in an Organized Health Care Education/Training Program 3535 Olentangy River Rd, Columbus, OH 43214-3908 2020-08-20
1083226393 Brittany Vonau Student in an Organized Health Care Education/Training Program 3535 Olentangy River Rd, Columbus, OH 43214-3908 2020-08-18
1487279196 Joseph Gene Lucas Nurse Practitioner 3535 Olentangy River Rd, Columbus, OH 43214-3908 2020-06-09
1639793961 Jordan Vance Dewitt Pharmacist 3535 Olentangy River Rd, Columbus, OH 43214-3908 2020-06-02
1154944239 Javahn Lamar Iverson Specialist/Technologist, Other 3535 Olentangy River Rd, Columbus, OH 43214-3908 2020-05-22
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1275145070 The Smile Method LLC Dentist 3545 Olentangy River Rd., Suite 128, Columbus, OH 43214 2020-08-21
1083175681 Mahima Venkatesh Prasad Student in an Organized Health Care Education/Training Program 3535 Olentangy River Road Ground/yellow, Columbus, OH 43214 2019-03-27
1346737988 Julie Jackson Occupational Therapist 214 Westwood Rd, Columbus, OH 43214 2018-04-19
1942703830 A1 Nursing Solution,llc Nursing Care 4770 Indianola Ave Ste Ll-j, Columbus, OH 43214 2018-03-16
1699280024 Darlene R Britford Social Worker 3770 N. High Street, Columbus, OH 43214 2017-12-07
1194235739 Molly Luckner Social Worker 3763 N High St., Ste A, Columbus, OH 43214 2017-10-10
1700395357 Deidre Monique Radford Peer Specialist 3770 North High St., Columbus, OH 43214 2017-09-27
1154844884 Beth Balog Pharmacist 513 Arden Rd, Columbus, OH 43214 2017-07-25
1164951430 Raad Bin Zakir Chowdhury Student in an Organized Health Care Education/Training Program 3595 Olentangy River Road, Columbus, OH 43214 2017-06-08
1841734787 Joel Franck Counselor 3620 High Street, Suite 107, Columbus, OH 43214 2016-12-12
Find all providers in zip 43214

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356941603 Ingrid Mompoint-butler Physician Assistant 1911 Oakland Park Ave, Columbus, OH 43224-3630 2020-10-27
1649886557 Justin Knox Physician Assistant 7416 Roslindale Dr, Columbus, OH 43235-8904 2020-09-17
1336766310 Mckenna Marie Wilson Physician Assistant 4752 Bentham Dr, Columbus, OH 43220-3204 2020-06-25
1881226744 Adrian Gorzitze-maxey Physician Assistant 117 W Como Ave, Columbus, OH 43202-1027 2020-02-09
1699316604 James Rodeman Physician Assistant 1351 Wyandotte Rd, Columbus, OH 43212-3248 2019-10-01
1740830017 Rylie Taylor Ingham Physician Assistant 285 E State St Ste 600, Columbus, OH 43215-4329 2019-09-18
1487201976 Columbus Surgical Assist, LLC Physician Assistant 605 N. High Street #234, Columbus, OH 43215-2024 2019-08-20
1699237743 Stefan Khensouri Physician Assistant 3375 Paddington Dr, Columbus, IN 47203-4328 2019-04-05
1932681715 Michael Kenneth Johnson Physician Assistant 5399 Coachman Rd Apt E, Columbus, OH 43220-6270 2018-08-29
1760972426 Simon Nke Acha Physician Assistant 285 E State St Ste 360, Columbus, OH 43215-4357 2018-05-17
Find all providers in COLUMBUS

Competitor

Search similar providers

City COLUMBUS
Zip Code 43214

Improve Information

Please comment or provide details below to improve the information on MS. DESIREE ETTALEE VAN DYNE.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches