MARY LYNN KIACZ (NPI# 1568436970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568436970 |
| Entity Type | Individual |
| Full Name | MARY LYNN KIACZ |
| Credential | M.D. |
| Practice Address |
1875 Millikin Rd Columbus OH 43210-2200 |
| Practice Telephone | 6142920110 |
| Practice Fax Number | 6142476074 |
| Mailing Telephone | 6142920110 |
| Mailing Fax Number | 6142476074 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 35-045382 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0760556 | 05 |
| Street Address |
1875 MILLIKIN RD |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003880428 | Maribeth Mulholland | Contractor | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2006-02-14 |
| 1104386648 | Kaitlin Guzzo | Nurse Practitioner | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2019-03-21 |
| 1346581451 | Jonda Hapner-yengo | Nurse Practitioner | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2013-03-14 |
| 1134470685 | Kristina Lee Houser | Dietitian, Registered | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2012-09-24 |
| 1366760340 | William R Grote | Student in an Organized Health Care Education/Training Program | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2010-05-14 |
| 1346480308 | James Ralph Jacobs | Emergency Medicine | 1875 Millikin Rd, Osu Student Health Services, Columbus, OH 43210-2200 | 2009-03-03 |
| 1821255753 | Pamela Beck Bork | Clinic/Center | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2008-05-19 |
| 1700068707 | Phillip Edward Anderson | Pharmacist | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2007-11-30 |
| 1225256969 | Charles F Mueller | Radiology | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2007-04-20 |
| 1184849499 | Muhammad N Khan | Specialist | 1875 Millikin Rd, Columbus, OH 43210-2200 | 2007-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988135 | Willis Amweg | Contractor | 7514 Sawbury Ct, Columbus, OH 43235-1855 | 2020-10-08 |
| 1972125797 | Talitha Delonda Ramsey | Contractor | 2839 Mimosa St, Columbus, GA 31906-2163 | 2020-05-14 |
| 1538780614 | Shanequal Fletcher-york | Contractor | 319 N Oakley Dr Apt 21, Columbus, GA 31906-6651 | 2020-04-30 |
| 1063044147 | Sal Senethavisuok | Contractor | 4235 Aruba Dr, Columbus, OH 43230-5116 | 2020-02-06 |
| 1366089773 | Denise Michelle Averett | Contractor | 5401 Gunboat Dr Ste 33, Columbus, GA 31907-1498 | 2019-12-04 |
| 1821630062 | Jaquel A Brown | Contractor | 945 Fairglade Ln Apt A, Columbus, OH 43224-3148 | 2019-10-09 |
| 1194284208 | Cherveka Carter-lockhart | Contractor | 2522 Norris Rd Apt 4, Columbus, GA 31907-2573 | 2019-03-18 |
| 1831658244 | Geranda Lofton | Contractor | 6300 Milgen Rd Apt 1388, Columbus, GA 31907-0919 | 2019-03-15 |
| 1265990246 | Tressy Hilton | Contractor | 1615 12th St, Columbus, GA 31906-2937 | 2019-03-08 |
| 1366900367 | Lanelle Aisha Davis | Contractor | 6363 Flat Rock Rd Apt 349, Columbus, GA 31907-9252 | 2019-03-08 |
| Find all providers in COLUMBUS | ||||
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| 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.