Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. John Gerard Idzakovich Jr., NNP

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1801461793

Mr. John Gerard Idzakovich Jr., NNP is a Critical Care Neonatal Nurse Practitioner in Columbus, Ohio. Practices as a sole proprietor and works from 3 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

410 W 10th Ave
Columbus, OH 43210-1240
Phone: (614) 722-4560
Fax: (614) 722-4541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 700 Childrens Dr, Columbus, OH 43205-2664 — (614) 722-2000
  • 520 W 10th Ave, Columbus, OH 43210-1328 — (614) 722-2000

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence APRN.CNP.0029344 (OH)
Critical Care Neonatal Nurse Practitioner Taxonomy 363LN0005X · Licence APRN.CNP.0029344 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.0029344 (OH)

Record details

NPI number1801461793
Entity typeIndividual (Type 1)
GenderMale
Credentials NNP
Sole proprietorYes
NPI enumeratedMay 24, 2021
Last updated in NPPESAugust 6, 2026
Certification dateAugust 6, 2026

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