Provider Demographics
NPI:1497161632
Name:MEHLING, DOMINIC ANDREW (CNP)
Entity Type:Individual
Prefix:
First Name:DOMINIC
Middle Name:ANDREW
Last Name:MEHLING
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:480 MEDICAL CENTER DR
Mailing Address - Street 2:1 ST FLOOR
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43210-1229
Mailing Address - Country:US
Mailing Address - Phone:614-293-7604
Mailing Address - Fax:614-366-6809
Practice Address - Street 1:2050 KENNY RD
Practice Address - Street 2:SUITE 3300
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-3502
Practice Address - Country:US
Practice Address - Phone:614-366-9211
Practice Address - Fax:614-293-1456
Is Sole Proprietor?:No
Enumeration Date:2014-07-09
Last Update Date:2017-03-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OHCOA.16068-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0106934Medicaid