NPI 1104455435 · live from the CMS NPI Registry
Tyler Luis Abarca, MD
Anesthesiology in Columbus, OH. National Provider Identifier 1104455435, active.
NPI record
| NPI | 1104455435 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 3535 Olentangy River Rd, Columbus, OH 43214 |
| Practice phone | 614-566-4919 |
| Mailing address | 9604 S 25th Ave, Bellevue, NE 68147 |
| Enumerated | April 8, 2020 |
| Last updated | August 28, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Anesthesiology primary | 207L00000X | 36506 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.