Provider Demographics
NPI:1922093855
Name:HESSEL, ADAM B (MD)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:B
Last Name:HESSEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5720 BLAZER PARKWAY
Mailing Address - Street 2:SUITE B
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017
Mailing Address - Country:US
Mailing Address - Phone:614-761-1151
Mailing Address - Fax:614-761-4893
Practice Address - Street 1:5720 BLAZER PARKWAY
Practice Address - Street 2:SUITE B
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017
Practice Address - Country:US
Practice Address - Phone:614-761-1151
Practice Address - Fax:614-761-4893
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2008-09-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35058313H207ND0900X
OH35-058313H207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2267836Medicaid
OH0977457Medicaid
OH4042733Medicare PIN
E44723Medicare UPIN
OH0977457Medicaid