Provider Demographics
NPI:1407975535
Name:BENDLE, MARSHA D (MS, PA-C)
Entity Type:Individual
Prefix:
First Name:MARSHA
Middle Name:D
Last Name:BENDLE
Suffix:
Gender:F
Credentials:MS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD
Mailing Address - Street 2:SUITE 350
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-947-3700
Mailing Address - Fax:614-261-8159
Practice Address - Street 1:395 W 12TH AVE
Practice Address - Street 2:FIRST FLOOR - ROOM 184
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43210-1267
Practice Address - Country:US
Practice Address - Phone:614-293-8545
Practice Address - Fax:614-293-4541
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH50.001409363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHS96147Medicare UPIN
OHBEPA14705Medicare PIN