Basic Information
Provider Information
NPI: 1235636903
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BYRON
FirstName: RHIANNON
MiddleName: KATE
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER
Address2: 395 WEST 12TH AVE, 5TH FLOOR
City: COLUMBUS
State: OH
PostalCode: 43210
CountryCode: US
TelephoneNumber: 6142934532
FaxNumber:  
Practice Location
Address1: 6100 N HAMILTON RD FL 3
Address2:  
City: COLUMBUS
State: OH
PostalCode: 430812062
CountryCode: US
TelephoneNumber: 6142933069
FaxNumber: 6142938530
Other Information
ProviderEnumerationDate: 04/10/2018
LastUpdateDate: 08/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0201X35.145526OHY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic Oncology

No ID Information.


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