Individual provider · Type 1 NPI

Chad Archdeacon, MD

Student in an Organized Health Care Education/Training Program · Columbus, OH

NPI number 1083554471 Active

Practice location

241 W 11th Ave
Columbus, OH 43201-2356

Call (614) 293-6194 Map

Mailing address

3423 Algona Pl
Cincinnati, OH 45207-1501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1083554471

Chad Archdeacon, MD's National Provider Identifier is 1083554471, issued on Mar 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Columbus, OH. The record was last updated on Mar 30, 2026.