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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104273655

Dr. Mackenzie Shane Treloar, MD is an Obstetrics/Gynecology in Columbus, Ohio. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2016, 10 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment.

Years since qualifying
10
Trained at
University of Iowa, Rj & L Carver College of Medicine
In the registry since
2016
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

410 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 293-8045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104273655
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2016
Last updated in NPPESDecember 17, 2021
Mailing address2333 Hetter St, Columbus, OH 43228-9017

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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