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

Individual provider Family Medicine Physician · NPI 1831397876

Mark John Rastetter, MD is a Family Medicine Physician in Columbus, Ohio. Works from 2 locations. Licensed in Illinois and Ohio.

Licensed in
IL, OH
In the registry since
2007
Specialties on file
3
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 Kenny Rd
Columbus, OH 43221-3555
Phone: (614) 293-9777
Fax: (614) 293-9776
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1044 W. Mozart, Chicago, IL 60623 — (773) 292-8300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35132601 (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 125051088 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036123137 (IL)

Record details

NPI number1831397876
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2007
Last updated in NPPESJanuary 18, 2018

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