DR. JAY MARVIN WALLIN (NPI# 1528090768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528090768 |
| Entity Type | Individual |
| Full Name | DR. JAY MARVIN WALLIN |
| Credential | M.D. |
| Practice Address |
6075 E Broad St Columbus OH 43213-1549 |
| Practice Telephone | 6147598660 |
| Practice Fax Number | 6147598764 |
| Mailing Telephone | 6147598660 |
| Mailing Fax Number | 6147598764 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2010-04-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 35075177W | OH | Allopathic & Osteopathic Physicians |
| Street Address |
6075 E BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213-1549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056399 | Adam Michael Zochowski | Surgery | 6075 E Broad St, Columbus, OH 43213-5131 | 2005-07-13 |
| 1205321551 | Emiley Houser | Nurse Practitioner | 6075 E Broad St, Columbus, OH 43213 | 2018-06-28 |
| 1144710971 | Ronald Whisner | Nurse Practitioner | 6075 E Broad St, Columbus, OH 43213-5131 | 2018-05-17 |
| 1063817310 | Sarah Ann Baker | Nurse Practitioner | 6075 E Broad St, Columbus, OH 43213-5131 | 2014-10-29 |
| 1780994970 | Central Ohio Surgical Associates | Specialist | 6075 E Broad St, Columbus, OH 43213-5131 | 2010-10-21 |
| 1417116880 | Steven C Reitz | Surgery | 6075 E Broad St, Columbus, OH 43213-5131 | 2008-06-02 |
| 1396917274 | Kristine D. Slam | Surgery | 6075 E Broad St, Columbus, OH 43213-5131 | 2008-03-31 |
| 1942499280 | Fernando N Aguila | Surgery | 6075 E Broad St, Columbus, OH 43213-5131 | 2007-10-23 |
| 1649290172 | Oberlander and Associates Internal Medicine Inc | Internal Medicine | 6075 E Broad St, Columbus, OH 43213-1549 | 2006-07-20 |
| 1740208511 | Jason C Keith | Surgery | 6075 E Broad St, Columbus, OH 43213-5131 | 2006-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917973 | Complete Care for Women | Obstetrics & Gynecology | 99 North Brice Rd, Suite 320, Columbus, OH 43213 | 2020-09-16 |
| 1255963708 | Icare Health & Wellness Medical Center, LLC | Counselor | 3242 E Main St, 2nd Floor, Columbus, OH 43213 | 2020-02-12 |
| 1588133011 | Robert Acheampong-imbeah | Case Manager/Care Coordinator | 3616 Eastwood Park, Whitehall, OH 43213 | 2018-11-14 |
| 1174017248 | Faatimah Sabir | Case Manager/Care Coordinator | 3616 East Main Street, Whitehall, OH 43213 | 2018-06-21 |
| 1639663123 | Reachcare Pharmacy Services LLC | Pharmacy | 4513 E Main St, Columbus, OH 43213 | 2018-06-18 |
| 1245729516 | Dominique Oswalt | Case Manager/Care Coordinator | 4111 Elbern Ave, Whitehall, OH 43213 | 2018-05-02 |
| 1326540865 | Jmkennedy LLC Magnum Np | Nursing Care | 6365 Plankton Dr, Columbus, OH 43213 | 2018-03-01 |
| 1477051647 | Inner Health Chiropractic North, LLC | Chiropractor | Inner Health Chiropractic, 3321 East Broad Street, Columbus, OH 43213 | 2018-01-23 |
| 1902319213 | Mary H Taylor | Massage Therapist | 6100 E. Main St., Suite 110, Columbus, OH 43213 | 2017-11-08 |
| 1407384548 | Lashaunta R Davidson | Licensed Practical Nurse | 4040 E. Broad Street, Whitehall, OH 43213 | 2017-06-02 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023577319 | Shilpa Sridhar | Internal Medicine | 720 W 3rd Ave Apt 335, Columbus, OH 43212-3162 | 2019-03-15 |
| 1366947913 | Mary Elise Hanks | Internal Medicine | Osumc/nationwide Children's Med-ped Residency Program, 1405 S. High St, Columbus, OH 43207 | 2018-03-27 |
| 1699279323 | Timothy Ming-li Pian | Internal Medicine | Internal Medicine-pediatric Residency Program, 1405 S. High Street, Columbus, OH 43207 | 2018-03-19 |
| 1174051809 | Melissa Christine Kander | Internal Medicine | 4830 Knightsbridge Blvd Ste A, Columbus, OH 43214-2300 | 2017-05-25 |
| 1831623115 | Sumiya Ahmed | Internal Medicine | 23203 Columbus Rd Ste I, Columbus, NJ 08022-1985 | 2017-04-13 |
| 1699209023 | Karenpreet Brar | Internal Medicine | 4310 Clime Rd Ste A, Columbus, OH 43228-3496 | 2017-04-12 |
| 1194173864 | Nishant Dagli | Internal Medicine | 50 N Wilson Rd, Columbus, OH 43204-1214 | 2016-06-02 |
| 1457714933 | Matthew Isaac Lyons | Internal Medicine | 1405 S. High St., Osu/nch Internal Medicine-pediatric Residency Prog., Columbus, OH 43207 | 2016-04-01 |
| 1013379080 | Melissa Lau | Internal Medicine | 395 W 12th Avenue, Third Floor, Columbus, OH 43210-1240 | 2016-03-28 |
| 1285096453 | Katherine Frances Ernst | Internal Medicine | 1405 S High St, Osu/nch Internal Medicine-pediatric Residency Program, Columbus, OH 43207-1043 | 2016-03-25 |
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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.