Individual
RICHARD EDWARD RODENBERG JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1405 S HIGH ST, COLUMBUS, OH 43207-1043
(614) 722-6200
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5123
(614) 293-4890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35083261
OH
207QS0010X
Sports Medicine (Family Medicine) Physician
35083261
OH
207R00000X
Internal Medicine Physician
35083261
OH
207RS0010X
Sports Medicine (Internal Medicine) Physician
35083261
OH
208000000X
Pediatrics Physician
Primary
35083261
OH
2080S0010X
Pediatric Sports Medicine Physician
35083261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2464391
—
OH
Enumeration date
12/15/2005
Last updated
03/12/2026
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