Individual
FRANK D TICE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
745 W STATE ST, STE 750, COLUMBUS, OH 43222-1515
(614) 224-2281
(614) 221-8869
Mailing address
2570 ABINGTON RD, UPPER ARLINGTON, OH 43221-3004
(614) 486-7165
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35056291T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000014654
ANTHEM BCBS
—
01
—
060038976
RAILROAD MEDICARE
—
05
—
0761126
—
OH
01
—
10600
NATIONWIDE
—
01
—
2500396
UNITED HEALTHCARE
—
01
—
289254
BLACK LUNG
—
01
—
9721935
CIGNA
—
Enumeration date
04/05/2006
Last updated
05/30/2008
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