Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 1144589482 | OH |
N | 208000000X | Pediatrician | 35-125252 | OH |
N | 2080P0202X | Pediatric Cardiologist | 35-125252 | OH |
Y | 2080P0203X | Pediatric Critical Care Doctor | 35-125252 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 35-125252 | OH |
NPI | 1144589482 |
---|---|
Provider Name | Amee Michelle Bigelow |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2012 |
Last Update Date | 28/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0403590 | (05) | OH |