Individual
JOHN R MYTINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 S 18TH ST, COLUMBUS, OH 43205-2654
(614) 722-6200
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
35.099449
OH
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
35.099449
OH
2084N0600X
Clinical Neurophysiology Physician
35.099449
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0066559
—
OH
01
—
H147850
MEDICARE - CGS
OH
Enumeration date
05/07/2007
Last updated
05/14/2026
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