Provider Demographics
NPI:1164426029
Name:VARNER, ARTHUR E (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:E
Last Name:VARNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1239
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48099-1239
Mailing Address - Country:US
Mailing Address - Phone:248-824-6600
Mailing Address - Fax:855-618-6655
Practice Address - Street 1:355 E CAMPUS VIEW BLVD
Practice Address - Street 2:SUITE 180
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-5680
Practice Address - Country:US
Practice Address - Phone:614-840-1688
Practice Address - Fax:614-840-1689
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35065346V207KA0200X
OH35.065346207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBA9296272OtherMEDICARE GROUP NUMBER
OHBA9296274OtherMEDICARE GROUP NUMBER
OH2011807Medicaid
OHBA9296275OtherMEDICARE GROUP NUMBER
OHBA9296276OtherMEDICARE GROUP NUMBER
OHBA9296271OtherMEDICARE GROUP NUMBER
OHBA9296273OtherMEDICARE GROUP NUMBER
OHBA9296275OtherMEDICARE GROUP NUMBER
OHBA9296276OtherMEDICARE GROUP NUMBER
OHVA0825454Medicare ID - Type UnspecifiedPROVIDER NUMBER
OHBA9296272OtherMEDICARE GROUP NUMBER
OHBA9296274OtherMEDICARE GROUP NUMBER
OHVA0825457Medicare ID - Type UnspecifiedPROVIDER NUMBER
OHVA0825456Medicare ID - Type UnspecifiedPROVIDER NUMBER
OH2011807Medicaid