JOHN R MYTINGER MD NPI 1063625234

NPI Information

NPI: 1063625234
Provider Name: JOHN R MYTINGER, MD
Classification: Psychiatry & Neurology - 2084N0402X
Specialization: Neurology with Special Qualifications in Child Neurology
Entity Type: Individual
PECOS Registration: Yes
Address: 555 S 18TH ST
COLUMBUS, OH
ZIP 43205
Phone: (614) 722-6200

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NPI Details

John R Mytinger, MD is a neurology with special qualifications in child neurology psychiatry neurology in Columbus, OH with 21 years of experience. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. John R Mytinger, MD NPI is 1063625234. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduation Year:2005

The provider's business location address is:

555 S 18TH ST
COLUMBUS, OH
ZIP 43205-654
Phone: (614) 722-6200

The NPI 1063625234 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 11/30/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	35.099449	OHIO	No
2	2084N0600X	Psychiatry & Neurology	Clinical Neurophysiology	35.099449	OHIO	No
3	2084N0402X	Psychiatry & Neurology	Neurology with Special Qualifications in Child Neurology	35.099449	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0066559	MEDICAID	OHIO
2	H147850	OTHER	OHIO	MEDICARE - CGS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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