Provider Demographics
NPI:1093976441
Name:WESTHOVEN, OLIVIA NOELLE (MD)
Entity Type:Individual
Prefix:DR
First Name:OLIVIA
Middle Name:NOELLE
Last Name:WESTHOVEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:NOELLE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:76 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-1222
Mailing Address - Country:US
Mailing Address - Phone:419-280-0957
Mailing Address - Fax:
Practice Address - Street 1:1021 COUNTRY CLUB RD
Practice Address - Street 2:SUITE A
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43213-2479
Practice Address - Country:US
Practice Address - Phone:614-501-7337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH31.094833208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics