Katherine Montague Mizelle
MD | Pediatric Cardiology | Female
Katherine Montague Mizelle, MD is a Columbus, Ohio based Pediatric doctor with medical specialization in
Pediatric Cardiology.
Current practice location of Katherine Montague Mizelle is
700 Children's Drive, Columbus, Ohio - 43205-2664. She can be contacted on phone at
614-722-3100 and fax number 614-722-2549.
Katherine Montague Mizelle is a sole proprietor of her business.
NPI number (Unique professional ID) for Katherine Montague Mizelle is
1881688893 which was assigned by NPPES on 06 Sep, 2005 and it was last updated on 21 Jan, 2016.
Katherine Montague Mizelle license number is
35078529 for Pediatrics Pediatric Cardiology (2080P0202X) in Ohio.
Katherine Montague Mizelle provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Complete Profile:
Katherine Montague Mizelle basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Cardiology |
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| Provider Name : | Katherine Montague Mizelle |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Katherine Montague Mizelle 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 Children's Drive
Columbus, OH, 43205-2664
United States |
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| Phone Number : | 614-722-3100 |
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| Fax Number : | 614-722-2549 |
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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 : | 1881688893 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Sep, 2005 |
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| Last Updated On : | 21 Jan, 2016 |
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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 Katherine Montague Mizelle are as mentioned. Primary taxonomy code for Katherine Montague Mizelle, MD is
2080P0202X (Pediatrics Pediatric Cardiology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | No | 35078529 | OH |
| 2080P0202X | Pediatrics Pediatric Cardiology | Yes | 35078529 | OH |
Legacy Identifiers:
Other legacy medical identifiers of Katherine Montague Mizelle such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 2211403 | MEDICAID | OH | |
| MI4040602 | Other | OH | MEDICARE |
| 64027246 | MEDICAID | KY | |
| MI4040601 | Other | OH | MEDICARE |
| 1802977000 | MEDICAID | WV | |
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 Children's Drive
Columbus, OH, 43205-2664
United States |
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| Phone Number : | 614-722-3100 |
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| Fax Number : | 614-722-2549 |
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Business Location:
Patients can refer following map for directions to
Katherine Montague Mizelle practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.