Provider Demographics
NPI:1750589271
Name:HIMES, ALISON DAWSON (DO)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:DAWSON
Last Name:HIMES
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2065 STRINGTOWN RD
Mailing Address - Street 2:
Mailing Address - City:GROVE CITY
Mailing Address - State:OH
Mailing Address - Zip Code:43123-2930
Mailing Address - Country:US
Mailing Address - Phone:614-539-1800
Mailing Address - Fax:
Practice Address - Street 1:2065 STRINGTOWN RD
Practice Address - Street 2:
Practice Address - City:GROVE CITY
Practice Address - State:OH
Practice Address - Zip Code:43123-2930
Practice Address - Country:US
Practice Address - Phone:614-539-1800
Practice Address - Fax:614-539-1815
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.010685207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000827424OtherANTHEM BC/BS
OHPO1292792OtherRAILROAD MEDICARE
OHPO1292792OtherRAILROAD MEDICARE