JENNIFER JEFFERIS MASTRUSERIO (NPI# 1497715544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497715544 |
Entity Type | Individual |
Full Name | JENNIFER JEFFERIS MASTRUSERIO |
Credential | MD |
Practice Address |
1830 Bethel Rd Suite C Columbus OH 43220-1809 |
Practice Telephone | 6143261600 |
Practice Fax Number | 6143263600 |
Mailing Telephone | 6143261600 |
Mailing Fax Number | 6143263600 |
Enumeration Date | 2006-03-24 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
35070134 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | UNITED HEALTHCARE | 1201235 | 01 |
OH | ANTHEM | 000000121076 | 01 |
Street Address |
1830 BETHEL RD SUITE C |
City | COLUMBUS |
State | OH |
Zip Code | 43220-1809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790744480 | Jennifer Beck Carlos | Pediatrics | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 | 2006-03-21 |
1548718695 | Derek E Kues | Physician Assistant | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 | 2016-09-19 |
1669859047 | Forefront Dermatology, S.c. | Dermatology | 1830 Bethel Rd, Suite C, Columbus, OH 43220 | 2015-05-05 |
1194048470 | Elite Dermatology of Columbus | Dermatology | 1830 Bethel Rd, Columbus, OH 43220-1809 | 2010-03-01 |
1578746210 | Abner H Bagenstose Md Inc | Allergy & Immunology | 1830 Bethel Rd, Suite D, Columbus, OH 43220-1809 | 2007-12-17 |
1194843581 | Timothy S Troiano | Dentist | 1830 Bethel Rd, Suite A, Columbus, OH 43220-1809 | 2007-03-26 |
1023146842 | Marlin F. Troiano | Dentist | 1830 Bethel Rd, Columbus, OH 43220-1809 | 2007-03-01 |
1043270101 | Anna Christine Gray | Pediatrics | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 | 2006-03-24 |
1003876152 | Matthew Joseph Morrison | Pediatrics | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 | 2006-03-24 |
1760442941 | Patricia Ann Francis | Pediatrics | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 | 2006-03-23 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
Find all providers in zip 43220 |
Taxonomy Code | 2080A0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Adolescent Medicine |
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396264453 | Sinem Akgul | Pediatrics | Livingston Ambulatory Center, 380 Butterfly Gardens Drive, Columbus, OH 43215 | 2017-09-10 |
1861527103 | Florida Selga Basilio | Pediatrics | 1519 13th Ave, Columbus, GA 31901-1908 | 2007-02-23 |
1609902956 | Florida Basilio Md, PC | Pediatrics | 2039 Warm Springs Rd, Columbus, GA 31904-7931 | 2007-02-23 |
1790744480 | Jennifer Beck Carlos | Pediatrics | 1830 Bethel Rd, Suite C, Columbus, OH 43220-1809 | 2006-03-21 |
1164685350 | Erin Ricciardi Mcknight | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2008-07-08 |
1902068489 | Casey V Cottrill | Pediatrics | 555 S 18th St, Columbus, OH 43205-2654 | 2008-06-26 |
1447473848 | Gayathri Chelvakumar | Pediatrics | 700 Childrens Dr, Columbus, OH 43205-2664 | 2007-04-11 |
1356477616 | I Basilio Md, PC | Pediatrics | 2039 Warm Springs Rd, Columbus, GA 31904-7931 | 2007-02-23 |
1023143393 | Feoderis N Basilio | Pediatrics | 104 14th St, Columbus, GA 31901-2131 | 2007-02-23 |
1841210622 | Andrea E Bonny | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2006-07-21 |
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.