Provider Demographics
NPI:1992741466
Name:KROMER, DANA MARIE (DO)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:MARIE
Last Name:KROMER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANA
Other - Middle Name:M
Other - Last Name:KROMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4343 ALL SEASONS DR
Practice Address - Street 2:STE 220
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-1961
Practice Address - Country:US
Practice Address - Phone:614-544-1100
Practice Address - Fax:614-544-1101
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34005114207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0907782Medicaid
OH0907782Medicaid
OHKR0871764Medicare PIN