Search › Ohio › 363LN0000X
John Idzakovich, NNP
NPI 1801461793 · on the registry since 2021 · sole proprietor
Practice
- Address
- 410 W 10th Ave
Columbus, OH 43210 - Phone
- (614) 722-4560
- Fax
- (614) 722-4541
- Organisation at this address
- Walgreen Co
Osu Surgery, Llc
Ohio State University
Ohio State University
Osu Path Component LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 1,704
Additional practice sites
- 520 W 10th Ave, Columbus, OH
- 700 Childrens Dr, Columbus, OH
Registry record
- Primary taxonomy
- 363LN0000X
363LN0000X
- Also registered as
- 363LN0005X
363L00000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio