MELINDA KRISTINE JACK (NPI# 1760543177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760543177 |
| Entity Type | Individual |
| Full Name | MELINDA KRISTINE JACK |
| Credential | M.D. |
| Practice Address |
5965 East Broad Street Suite 120 Columbus OH 43213 |
| Practice Telephone | 6148641000 |
| Practice Fax Number | 6148641444 |
| Mailing Telephone | 6148641000 |
| Mailing Fax Number | 6148641444 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 35088654 | OH | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 35-088654 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
5965 EAST BROAD STREET SUITE 120 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003993098 | Hiresadarahalli C Nataraj | Allergy & Immunology | 5965 East Broad Street, Suite 320, Columbus, OH 43213 | 2006-11-01 |
| 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 |
| Find all providers in zip 43213 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851467492 | Colon & Rectal Surgery Inc | Colon & Rectal Surgery | 5965 East Broad St, #200, Columbus, OH 43213 | 2006-11-27 |
| 1659446326 | William E Taylor | Colon & Rectal Surgery | 1900 10th Ave Ste 201, Columbus, GA 31901-3602 | 2006-11-21 |
| 1083093488 | Michael Krishna Rao | Colon & Rectal Surgery | 393 E Town St Ste 116, Columbus, OH 43215-4799 | 2015-05-19 |
| 1467865147 | Worst Day Ever | Colon & Rectal Surgery | 849 Harmon Ave, Columbus, OH 43223-2411 | 2014-06-10 |
| 1285951772 | Colon and Rectal Surgical Associates Inc | Colon & Rectal Surgery | 3545 Olentangy River Rd, Suite 500, Columbus, OH 43214-3907 | 2010-04-23 |
| 1336476704 | Emily Huang | Colon & Rectal Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2009-11-05 |
| 1184867756 | Ellen Hunter Bailey | Colon & Rectal Surgery | 5965 E Broad St, Suite #250, Columbus, OH 43213-1562 | 2009-04-13 |
| 1043412109 | Syed G. Husain | Colon & Rectal Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2007-06-01 |
| 1104996693 | Ryan S Williams | Colon & Rectal Surgery | 181 Taylor Ave, Columbus, OH 43203-1779 | 2006-11-09 |
| 1639180003 | Matthew F Kalady | Colon & Rectal Surgery | 2050 Kenny Rd, Columbus, OH 43221-3502 | 2006-08-11 |
| 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.