Individual provider · Type 1 NPI

John Gerard Idzakovich Jr., NNP

Neonatal Nurse Practitioner · Columbus, OH

NPI number 1801461793 Active

Practice location

410 W 10th Ave
Columbus, OH 43210-1240

Call (614) 722-4560 Map

Fax (614) 722-4541

Other practice locations

  • 520 W 10th Ave, Columbus, OH 43210-1328 · (614) 722-2000
  • 700 Childrens Dr, Columbus, OH 43205-2664 · (614) 722-2000

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner 363LN0005XAPRN.CNP.0029344 (OH)
Neonatal Nurse Practitioner Primary 363LN0000XAPRN.CNP.0029344 (OH)
Nurse Practitioner 363L00000XAPRN.CNP.0029344 (OH)

Neonatal Nurse Practitioner: Definition to come...

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About NPI 1801461793

John Gerard Idzakovich Jr., NNP's National Provider Identifier is 1801461793, issued on May 24, 2021. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Columbus, OH. The record was last updated on Aug 6, 2026.