Mizelle, Katherine Montague
Mizelle, Katherine Montague is an individual health care provider with primary practice located at 700 Children'S Drive , Columbus OH 43205-2664. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Cardiology is her primary health care specialty. Mizelle, Katherine Montague can be contacted via phone (614) 722-3100.Contact Information
Primary practice address
700 Children'S Drive
Columbus OH 43205-2664
Phone: (614) 722-3100
Fax: (614) 722-2549
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 35078529 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 35078529 | Ohio |
Profile Details
| NPI number | 1881688893 |
|---|---|
| LBN Legal business name | Mizelle, Katherine Montague |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Jan 21st, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881688893 | NPPES |
| West Virginia | MEDICAID | 1802977000 | |
| West Virginia | MEDICAID | 64027246 | |
| West Virginia | Other | MI4040601 | |
| West Virginia | Other | MI4040602 | |
| West Virginia | MEDICAID | 2211403 |
Popular Providers
-
Kovalchin, John P
700 Children'S Drive , Columbus OH 43205-2664 -
Daniels, Curtis J
452 W 10Th Ave Fl 2 , Columbus OH 43210-1240 -
Garg, Vidu
700 Childrens Dr , Columbus OH 43205-2664 -
Simsic, Janet M
700 Children'S Drive , Columbus OH 43205-2664 -
Teske, Douglas William
555 S 18Th St , Columbus OH 43205-2654 -
Hor, Kan N
700 Children'S Drive , Columbus OH 43205-2664 -
Krawczeski, Catherine D
700 Childrens Dr , Columbus OH 43205-2664 -
Wheller, John James
700 Children'S Drive , Columbus OH 43205-2664