Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Donald Albert Deshetler Jr., MD

Individual provider Family Medicine Physician · NPI 1073510558

Dr. Donald Albert Deshetler Jr., MD is a Family Practice in Granville, Ohio. Graduated from Ohio State University College of Medicine in 1995, 31 years ago. Practices with Central Ohio Primary Care Physicians, Inc, a 487-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
31
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2000 Newark Granville Rd Ste 100
Granville, OH 43023-9135
Phone: (740) 587-0087
Fax: (740) 587-0084
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35076727D (OH)

Record details

NPI number1073510558
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 30, 2005
Last updated in NPPESFebruary 24, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Central Ohio Primary Care Physicians, Inc. — 487 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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