Individual
JONATHAN MEDERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Mailing address
700 CHILDRENS DR, COLUMBUS, OH 43205-2664
(614) 722-2000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125070264
IL
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
34.018079
OH
2080P0206X
Pediatric Gastroenterology Physician
34.018079
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140349
—
OH
Enumeration date
06/09/2017
Last updated
09/24/2025
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