Provider Demographics
NPI:1922217686
Name:FAILOR, JOANNA L (DO)
Entity Type:Individual
Prefix:
First Name:JOANNA
Middle Name:L
Last Name:FAILOR
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Gender:F
Credentials:DO
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Mailing Address - Street 1:4895 OLENTANGY RIVER RD STE 250
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-1184
Mailing Address - Country:US
Mailing Address - Phone:614-267-8371
Mailing Address - Fax:614-262-0005
Practice Address - Street 1:4895 OLENTANGY RIVER RD STE 250
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1184
Practice Address - Country:US
Practice Address - Phone:614-267-8371
Practice Address - Fax:614-262-0005
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2019-06-13
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Provider Licenses
StateLicense IDTaxonomies
OH34.009440207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2984856Medicaid
OH2984856Medicaid