JACLYN MAUREEN LAINE (NPI# 1316146988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316146988 |
| Entity Type | Individual |
| Full Name | JACLYN MAUREEN LAINE |
| Other Name | JACLYN MAUREEN DRAKE |
| Credential | D.O. |
| Practice Address |
931 Chatham Ln Suite 200 Columbus OH 43221-2417 |
| Mailing Address |
5400 Frantz Rd Ste 250 Dublin OH 43016-6102 |
| Practice Telephone | 6145335500 |
| Practice Fax Number | 6145335593 |
| Mailing Telephone | 6145446155 |
| Mailing Fax Number | 6145446370 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2017-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 58 | OH | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
34.010195 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0061403 | 05 |
| Street Address |
931 CHATHAM LN SUITE 200 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43221-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760484851 | Albert L Berarducci | Psychiatry & Neurology | 931 Chatham Ln, Columbus, OH 43221-2417 | 2005-08-10 |
| 1932725348 | Katherine Zane | Psychologist | 931 Chatham Ln, Columbus, OH 43221-2417 | 2020-06-22 |
| 1962991968 | Nealie Elizabeth Farber | Nurse Practitioner | 931 Chatham Ln, Columbus, OH 43221 | 2018-05-04 |
| 1750602132 | David Allen Boley II | Registered Nurse | 931 Chatham Ln, Columbus, OH 43221-2417 | 2010-06-19 |
| 1306071899 | Timothy James Robert Rust | Psychiatry & Neurology | 931 Chatham Ln, Suite 200, Columbus, OH 43221-2417 | 2009-05-27 |
| 1316113491 | Adam Nicholas Ueberroth | Neuromusculoskeletal Medicine & OMM | 931 Chatham Ln, Ste. 200, Columbus, OH 43221-2417 | 2008-05-07 |
| 1811163603 | Girish Kotreshwar Hiremath | Neurological Surgery | 931 Chatham Ln, Columbus, OH 43221-2417 | 2008-05-01 |
| 1598968596 | Jennifer Kay Wean | Physician Assistant | 931 Chatham Ln, Suite 200, Columbus, OH 43221-2417 | 2007-06-07 |
| 1952510968 | Brian Francis Seaman | Neurological Surgery | 931 Chatham Ln, Columbus, OH 43221-2417 | 2007-05-22 |
| 1245448083 | James Fleming | Neurological Surgery | 931 Chatham Ln, Columbus, OH 43221-2417 | 2007-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
| 1215405691 | Mary E Altiero | Registered Nurse | 3041 Mountview Rd, Columbus, OH 43221 | 2018-11-05 |
| 1396157228 | Heavenly Help LLC | Home Health | 2903 Brandon Road, Columbus, OH 43221 | 2014-05-27 |
| 1679824767 | Danielle Leigh Prater | Occupational Therapy Assistant | 5222 York County Rd., Columbus, OH 43221 | 2012-09-28 |
| 1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
| 1033494125 | Katherine Ann Friz | Mechanotherapist | 1840 Zollinger Rd Suite A, Columbus, OH 43221 | 2011-10-20 |
| 1942513908 | Adelaide Wilma Koestner | Pathology | 3175 Tremont Rd., #410, Columbus, OH 43221 | 2010-07-20 |
| 1003006909 | Julia Ann Pinkham | Acupuncturist | 2170 Riverside Dr, Columbus, OH 43221 | 2007-07-26 |
| 1750592796 | Christopher Scott Mckenzie | Physical Therapist | The Ohio State University Sports Medicine Center, 2050 Kenny Rd. Morehouse Building, Columbus, OH 43221 | 2007-05-24 |
| 1538379169 | Melissa Shearer Kidder | Physical Therapist | Osu Sports Medicine Center, 2050 Kenny Road, Columbus, OH 43221 | 2007-05-23 |
| Find all providers in zip 43221 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174059174 | Padet Wattanasarn | Psychiatry & Neurology | 1070 Circle On The Grn, Columbus, OH 43235-1211 | 2017-05-11 |
| 1780946731 | Samantha Jo Lorusso | Psychiatry & Neurology | 543 Taylor Ave Ste 1100, Columbus, OH 43203-1278 | 2012-06-14 |
| 1184930133 | Appaji Rayi | Psychiatry & Neurology | 395 W 12th Ave Fl 7, Columbus, OH 43210 | 2010-08-27 |
| 1760641740 | Aaron Lee Boster | Psychiatry & Neurology | 8000 Ravines Edge Ct Ste 200, Columbus, OH 43235-5422 | 2008-06-05 |
| 1740489566 | Neurological Associates, Inc. | Psychiatry & Neurology | 974 Bethel Rd Ste C, Columbus, OH 43214-2467 | 2007-07-12 |
| 1649488586 | Shuang Chen | Psychiatry & Neurology | 4551 Lanercost Way, Columbus, OH 43220-2916 | 2007-05-21 |
| 1538222609 | George Wesley Paulson | Psychiatry & Neurology | 3957 Lytham Ct, Columbus, OH 43220-4848 | 2006-12-19 |
| 1740355486 | Brien John Smith | Psychiatry & Neurology | 3555 Olentangy River Rd Ste 2002, Columbus, OH 43214 | 2006-11-21 |
| 1144304064 | Maria Kataki | Psychiatry & Neurology | 2050 Kenny Rd Fl 3, Columbus, OH 43221-3502 | 2006-10-25 |
| 1205910502 | Douglas W. Scharre | Psychiatry & Neurology | 2050 Kenny Rd Fl 7, Columbus, OH 43221-3502 | 2006-10-24 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.