Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | 35133901 | OH |
N | 208200000X | Surgeon | 35133901 | OH |
N | 208600000X | Surgeon | 35133901 | OH |
NPI | 1083930614 |
---|---|
Provider Name | Austin David Schenk |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2010 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0302321 | (05) | OH |
H658670 | CGS - MEDICARE - OSU (01) | OH |
H658671 | CGS - MEDICARE - CSA (01) | OH |