Ethan A Mezoff
MD | Pediatric Gastroenterology | Male
Ethan A Mezoff, MD is a Columbus, Ohio based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Ethan A Mezoff is
700 Childrens Dr, Columbus, Ohio - 43205-2664. He can be contacted on phone at
614-722-6200.
Ethan A Mezoff is a sole proprietor of his business.
NPI number (Unique professional ID) for Ethan A Mezoff is
1972747350 which was assigned by NPPES on 29 Apr, 2009 and it was last updated on 23 Nov, 2022.
Ethan A Mezoff license number is
35.098766 for Pediatrics, Pediatric Gastroenterology (2080P0206X) in Ohio.
Ethan A Mezoff specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Ethan A Mezoff basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Gastroenterology |
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| Provider Name : | Ethan A Mezoff |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Ethan A Mezoff address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 700 Childrens Dr
Columbus, OH, 43205-2664
United States |
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| Phone Number : | 614-722-6200 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1972747350 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 29 Apr, 2009 |
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| Last Updated On : | 23 Nov, 2022 |
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Medicare Participation:
Ethan A Mezoff participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8527371830 |
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| Medicare Enrollment ID : | I20150715002238 |
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| Primary Specialty : | Gastroenterology |
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| Medical School : | Wright State University Boonshoft School Of Medicine |
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| Graduation Year : | 2008 |
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| Accepts Medicare? | Yes. Ethan A Mezoff accepts medicare insurance. |
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Group Practice Association:
Ethan A Mezoff is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Ethan A Mezoff is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Pediatric Academic Association, Inc. | 2961306774 | 173 | 700 Childrens Dr
Columbus, OH - 432052664
Ph: 6147224579 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan A Mezoff are as mentioned. Primary taxonomy code for Ethan A Mezoff, MD is
2080P0206X (Pediatrics, Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0206X | Pediatrics, Pediatric Gastroenterology | Yes | 35.098766 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Ethan A Mezoff such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0120634 | MEDICAID | OH | |
| H473490 | Other (non-Medicare) | OH | CGS - Medicare |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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5675 VENTURE DR,
DUBLIN, OH, 43017-2159
United States | DUBLIN, OH | 614-722-6200 |
536 S TRIMBLE RD,
MANSFIELD, OH, 44906-3418
United States | MANSFIELD, OH | 614-722-6200 |
730 W MARKET ST,
LIMA, OH, 45801-4602
United States | LIMA, OH | 614-722-6200 |
433 N CLEVELAND AVE,
WESTERVILLE, OH, 43082-8095
United States | WESTERVILLE, OH | 614-722-6200 |
185 W SCHROCK RD,
WESTERVILLE, OH, 43081-2890
United States | WESTERVILLE, OH | 614-722-6200 |
4439 STATE ROUTE 159,
CHILLICOTHE, OH, 45601-8207
United States | CHILLICOTHE, OH | 614-722-6200 |
455 EXECUTIVE CAMPUS DR,
WESTERVILLE, OH, 43082-8870
United States | WESTERVILLE, OH | 614-722-2000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 700 Childrens Dr
Columbus, OH, 43205-2664
United States |
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| Phone Number : | 614-722-2000 |
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Business Location:
Patients can refer following map for directions to
Ethan A Mezoff practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.