Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 35122021 | OH |
N | 208D00000X | General Practice Physician | C50802 | CA |
NPI | 1275609000 |
---|---|
Provider Name | Frank D Ferris |
First Address | Dublin, OH 43016-4134 |
Second Address | Columbus, OH 43214-3463 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2006 |
Last Update Date | 25/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00C508020 | (05) | CA |
PENDING | (05) | OH |