DR. JACK H STEVENS (NPI# 1346372778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346372778 |
| Entity Type | Individual |
| Full Name | DR. JACK H STEVENS |
| Credential | PHD |
| Practice Address |
700 Children's Drive J West 4th Floor Nationwide Children's Hospital Columbus OH 43205-2664 |
| Mailing Address |
255 E Main St 3rd Floor Columbus OH 43215-5222 |
| Practice Telephone | 6143558000 |
| Practice Fax Number | 6143550509 |
| Mailing Telephone | 6143558000 |
| Mailing Fax Number | 6143550509 |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2010-10-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
5848 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952368169 | Jack Owen Stevens | Anesthesiology | 10420 Peonia Ct, Austin, TX 78733-5709 | 2006-05-01 |
| Street Address |
700 CHILDREN'S DRIVE J WEST 4TH FLOOR NATIONWIDE CHILDREN'S HOSPITAL |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972751980 | Beth Ann Rosner | Psychologist | 6176 Stornoway Dr S, Columbus, OH 43213-2168 | 2008-09-03 |
| 1053445825 | Glenn V Thomas | Psychologist | 399 E Main St Ste 120, Columbus, OH 43215-5384 | 2007-03-15 |
| 1487782264 | Patricia A Lathrop | Psychologist | 921 Chatham Lane, Suite 112, Columbus, OH 43221 | 2007-03-01 |
| 1659439628 | Jessica Alyce Bissey | Psychologist | 424 Washington St Ste 7, Columbus, IN 47201-6790 | 2006-12-04 |
| 1831565779 | Lisa Macharoni | Psychologist | 4949 Olentangy River Rd, Columbus, OH 43214-1926 | 2015-08-14 |
| 1548505514 | Tyanna Snider | Psychologist | 700 Childrens Dr, Department of Psychology and Neuropsychology, Columbus, OH 43205-2664 | 2012-12-03 |
| 1568714400 | Jennifer A Hansen-moore | Psychologist | 700 Childrens Dr, Columbus, OH 43205-2664 | 2012-10-02 |
| 1265791305 | Mary A Fristad | Psychologist | 1670 Upham Dr, Columbus, OH 43210-1250 | 2012-05-10 |
| 1336430073 | Renee Devlin | Psychologist | 2540 Billingsley Rd, Columbus, OH 43235-1990 | 2011-04-28 |
| 1376852905 | Claire Ackerman | Psychologist | 6435 E Broad St, Suite A, Columbus, OH 43213-1507 | 2010-09-30 |
| 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.