Provider Demographics
NPI:1881222883
Name:MENGES, CATHERINE CAMILLE (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:CAMILLE
Last Name:MENGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:CAMILLE
Other - Last Name:ALFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4885 OLENTANGY RIVER RD STE 2-50
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1993
Mailing Address - Country:US
Mailing Address - Phone:614-451-1551
Mailing Address - Fax:614-451-2326
Practice Address - Street 1:4885 OLENTANGY RIVER RD STE 2-50
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1993
Practice Address - Country:US
Practice Address - Phone:614-451-1551
Practice Address - Fax:614-451-2326
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-27
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.144493207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine