Individual provider Active NPI

Dana Eileen Lenhart Tavaniello, DO

  • Pediatrics Physician
  • West Jefferson, OH
National Provider Identifier
1336349976
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
58002243 Issued in OH
Practice address
487 W Main St
West Jefferson, OH 43162-1178
Phone
(614) 379-5148
NPI assigned
Jul 23, 2007
Last updated
Jul 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 58002243 OH Primary

Addresses

Primary practice location

487 W Main St
West Jefferson, OH 43162-1178

Mailing address

487 W Main St
West Jefferson, OH 43162-1178
Phone (614) 379-5148

Other identifiers 1

IdentifierTypeStateIssuer
3031196MedicaidOH

Other names 1

  • Dana Eileen Lenhart Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000346 OH Practitioner - Pediatric Medicine 0749479467 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
58002243OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oh Independent Medical Group LLC CurrentSince Jul 12, 2024 Accepting new patients
Oh Independent Medical Group LLC CurrentSince Jul 12, 2024 Accepting new patients
Sunshine Pediatrics LLC Pediatrics CurrentSince Nov 6, 2010 Accepting new patients

Locations

3430 Ohiohealth Pkwy
Columbus, OH 43202
Phone (614) 566-0152

7450 Hospital Dr
Ste 4500
Dublin, OH 43016
Phone (614) 566-0166

487 W Main St
West Jefferson, OH 43162
Phone (614) 879-7239

487 W Main St
Ste A
West Jefferson, OH 43162
Phone (614) 879-7100

444 N Cleveland Ave
Ste 120
Westerville, OH 43082
Phone (614) 818-0300

Interoperability endpoints

  • Direct secure messaging: dana.tavaniello.1@26020.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1336349976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621178",
            "telephone_number": "614-379-5148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 W MAIN ST",
            "city": "WEST JEFFERSON",
            "state": "OH",
            "postal_code": "431621178",
            "telephone_number": "614-379-5148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENHART TAVANIELLO",
        "first_name": "DANA",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2024-07-09",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "58002243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3031196",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "LENHART",
            "middle_name": "EILEEN",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Jefferson, OH

Sources for this page

Verify at the official NPI Registry.