Individual provider · Type 1 NPI

Ellen Marie Diefenderfer, PA-C

Physician Assistant · Columbus, OH

NPI number 1073909289 Active

Practice location

300 W 10th Ave Fl 2
Columbus, OH 43210-1280

Call (614) 293-9059 Map

Fax (614) 293-0201

Mailing address

700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X50.004326RX (OH)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1073909289

Ellen Marie Diefenderfer, PA-C's National Provider Identifier is 1073909289, issued on Apr 14, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Columbus, OH. The record was last updated on May 19, 2026.