Individual
JOHN PATRICK CHEATHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2459
(614) 722-5030
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2459
(614) 722-5030
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
35081592
OH
2080P0202X
Pediatric Cardiology Physician
35.081592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004706000
MEDICAID
WV
05
—
2342496
—
OH
01
—
64057813
MEDICAID
KY
Enumeration date
07/18/2005
Last updated
09/13/2016
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