Doctor profile · Federal record
Dr. Kathleen Provanzana, MD
Family Medicine Physician (CMS: Family Practice) · Delaware, OH
- NPI 1891736013
- Accepts Medicare
- 31 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
6 Lexington Blvd
Delaware, OH 430151047
(740) 363-3305
fax (740) 383-7942 - Additional location
-
697 Thomas Ln
Columbus, OH 432143931
(614) 566-5414
fax (614) 533-0433
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- February 20, 2024
- Year of graduation
- 1995 — 31 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- Ohio #35071152P
- Medicaid
- OH #2074133
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1891736013. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,782
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Digital Diagnostics INC. | 1 | $1,757.57 | |
| Abbvie INC. | 1 | $24.12 |
By nature of payment
Frequently asked questions
What is Dr. Kathleen Provanzana's medical specialty?
Dr. Kathleen Provanzana practices Family Medicine Physician in Delaware, OH.
Where does Dr. Kathleen Provanzana practice?
Dr. Kathleen Provanzana practices at 6 Lexington Blvd, Delaware, OH 430151047. Office phone: 7403633305.
What is Dr. Kathleen Provanzana's NPI?
Dr. Kathleen Provanzana's National Provider Identifier (NPI) is 1891736013, issued by NPPES.
Does Dr. Kathleen Provanzana accept Medicare assignment?
Yes. Dr. Kathleen Provanzana accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.