DR. KELLY LYNN PODLOSKY (NPI# 1427257401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427257401 |
| Entity Type | Individual |
| Full Name | DR. KELLY LYNN PODLOSKY |
| Credential | D.D.S |
| Practice Address |
The Ohio State University College of Dentistry 305 W. 12th Ave. Columbus OH 43210 |
| Mailing Address |
1503 Aschinger Blvd Columbus OH 43212-2671 |
| Practice Telephone | 6142921421 |
| Mailing Telephone | 6143157454 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0106X |
Dentist Specialization: Oral and Maxillofacial Pathology |
2630 | OH | Dental Providers |
| Street Address |
THE OHIO STATE UNIVERSITY COLLEGE OF DENTISTRY 305 W. 12TH AVE. |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 1223P0106X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Pathology |
| The specialty of dentistry and discipline of pathology that deals with the nature, identification, and management of diseases affecting the oral and maxillofacial regions. It is a science that investigates the causes, processes, and effects of these diseases. The practice of oral and maxillofacial pathology includes research and diagnosis of diseases using clinical, radiographic, microscopic, biochemical, or other examinations. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1225177033 | Bruce Allen Fraser | Dentist | 463 Waterbury Ct, Suite A, Columbus, OH 43230 | 2007-02-06 |
| 1740375500 | William D Campbell | Dentist | 1818 Warm Springs Rd, Columbus, GA 31904 | 2006-10-04 |
| 1861478398 | Mark G. Hochberg | Dentist | 305 W 12th Ave, Columbus, OH 43210 | 2005-12-16 |
| 1932722204 | Sehrish Javaid | Dentist | 305 West 12th Avenue, 2195 Postle Hall, Columbus, OH 43210 | 2020-05-21 |
| 1790272748 | Oral Pathology Consultants Laboratory, LLC - John R Kalmar, Dmd Phd | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2018-04-16 |
| 1063933794 | Caroline Bissonnette | Dentist | 305 W. 12th Ave., 2196 Postle Hall, Columbus, OH 43210-1267 | 2017-07-03 |
| 1093181380 | Vimi Mutalik | Dentist | 305 W 12th Ave, Room 2195, Columbus, OH 43210-1267 | 2015-08-20 |
| 1770925380 | Amber Kiyani | Dentist | 305 W 12th Ave, Room 2196, Columbus, OH 43210-1267 | 2013-07-24 |
| 1134484959 | Wendi Jewers | Dentist | 305 W 12th Ave, Columbus, OH 43210-1267 | 2012-07-09 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.