Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35132052 | OH |
N | 2080P0204X | Pediatric Emergency Doctor | 35132052 | OH |
NPI | 1174918858 |
---|---|
Provider Name | Ryan M Barson |
First Address | Westerville, OH 43082-8642 |
Second Address | Westerville, OH 43082-8642 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2015 |
Last Update Date | 02/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0300302 | (05) | OH |