Basic Information
Provider Information
NPI: 1306170147
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROOD
FirstName: KARA
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2050 KENNY RD
Address2: 6TH FL TOWER
City: COLUMBUS
State: OH
PostalCode: 432213502
CountryCode: US
TelephoneNumber: 6142932222
FaxNumber: 6142932200
Practice Location
Address1: 2050 KENNY RD
Address2: 6TH FL TOWER
City: COLUMBUS
State: OH
PostalCode: 432213502
CountryCode: US
TelephoneNumber: 6142932222
FaxNumber: 6142932200
Other Information
ProviderEnumerationDate: 09/27/2009
LastUpdateDate: 04/11/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VM0101X35123654OHY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine

No ID Information.


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