| Randal Scott Olshefski, MD | |
| 
					700 Childrens Dr, Columbus, OH 43205-2664  | |
| (614) 722-3552 | |
| (614) 722-3699 | 
| Full Name | Randal Scott Olshefski | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics - Pediatric Hematology-oncology | 
| Location | 700 Childrens Dr, Columbus, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1245225754 | NPI | - | NPPES | 
| 2027194 | Medicaid | OH | |
| 0111059000 | Medicaid | WV | |
| 64956808 | Medicaid | KY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 35058592 (Ohio) | Primary | 
| Entity Name | Pediatric Academic Association, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198  | 
| Entity Name | Mercy Health Physicians-north Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750  | 
| Entity Name | Mercy Health Physicians North Specialty Care Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534  | 
| Entity Name | Northwest Pediatric Specialists Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359  | 
| Entity Name | Nationwide Children's Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1851179873 PECOS PAC ID: 0042385064 Enrollment ID: O20240214002279  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Randal Scott Olshefski, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-3552  | Randal Scott Olshefski, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-3552  | 
Amrik Singh Khalsa, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000 Fax: 614-722-4966  | |
Sara Foley Schroder, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2857 W Broad St, Columbus, OH 43204 Phone: 614-722-6200  | |
Mr. Christopher Jones, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000  | |
Claire Elizabeth Christian, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-2000  | |
Valentina Gutierrez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 80 E Rich St Apt 819, Columbus, OH 43215 Phone: 380-242-1699  | |
Logan Neely,  Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-772-4419  | |
Leif Daniel Nelin, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Columbus, OH 43205 Phone: 614-722-4559 Fax: 614-722-4541  |