Provider Demographics
NPI:1851552939
Name:ATAMAN, NARDIA S (MD)
Entity Type:Individual
Prefix:
First Name:NARDIA
Middle Name:S
Last Name:ATAMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NARDIA
Other - Middle Name:S
Other - Last Name:MCFARLANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:890 HIGH STREET
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4193
Mailing Address - Country:US
Mailing Address - Phone:614-540-7339
Mailing Address - Fax:614-540-7338
Practice Address - Street 1:890 HIGH STREET
Practice Address - Street 2:SUITE 200
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4193
Practice Address - Country:US
Practice Address - Phone:614-540-7339
Practice Address - Fax:614-540-7338
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.095257208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0086917Medicaid