Mark Davanzo MD LLC

Surgery Physician · Westerville, OH

Organization Active NPI

NPI number 1548406556

Practice location

477 Cooper Road
Suite 440
Westerville, OH 43081-8053
Phone
(614) 898-5520
Fax
(614) 898-5563

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NPI record

NPI
1548406556
Entity type
Organization (Type 2)
Enumeration date
December 22, 2008
Last updated
February 18, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Surgery Physician Primary 208600000X — OH
Specialist 174400000X 35042997 OH

Authorized official

Name
Mark E. Davanzo, MD
Title
MD/Owner Authorized Official
Phone
(614) 898-5561

About Mark Davanzo MD LLC

Mark Davanzo MD LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Surgery Physician (code 208600000X). The practice location is 477 Cooper Road, Suite 440, Westerville, OH 43081-8053. The NPI number 1548406556 was assigned on December 22, 2008 and the record was last updated on February 18, 2011.

Mark Davanzo MD LLC lists a license in the registry: #35042997 (OH) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mark E. Davanzo, MD, MD/Owner Authorized Official.

Frequently asked questions

What is the NPI number of Mark Davanzo MD LLC?

The NPI number is 1548406556.

What is the phone number of Mark Davanzo MD LLC?

The phone number listed for the practice location is (614) 898-5520.

Where is Mark Davanzo MD LLC located?

477 Cooper Road, Suite 440, Westerville, OH 43081-8053.

What is the taxonomy code for Mark Davanzo MD LLC?

The primary taxonomy code is 208600000X – Surgery Physician; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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