Individual
DR. BRIAN J FORNADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6201 GENDER RD, CANAL WINCHESTER, OH 43110-2007
(614) 834-8042
(614) 837-8035
Mailing address
6201 GENDER RD, CANAL WINCHESTER, OH 43110-2007
(614) 834-8042
(614) 837-8035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35.073388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0842093
MEDICAID GROUP
OH
01
—
1942630348
GROUP NPI - GRAND LAKE FAMILY PRACTICE & PEDIATRICS
OH
05
—
2145093
—
OH
01
—
99347423
MEDICARE GROUP PTAN
OH
01
—
H177270
MEDICARE
OH
01
—
H177271
MEDICARE INDIVIDUAL PTAN
OH
Enumeration date
04/18/2006
Last updated
07/21/2022
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