Jameson K Mattingly (NPI# 1255697975, PAC ID# 3577704568) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1255697975 |
| PAC ID by PECOS | 3577704568 |
| Professional Enrollment ID | I20190718003411 |
| Full Name | Jameson K Mattingly |
| Organization Legal Name | OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY, LLC |
| Address |
460 W 10th Ave Columbus OH 43210-1240 |
| Phone Number | 6142935066 |
| Gender | M |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 9830114529 |
| Number of Group Practice Members | 51 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360085 | OHIO STATE UNIVERSITY STATE HEALTH SYSTEM |
| 360242 | JAMES CANCER HOSPITAL & SOLOVE RESEARCH INSTITUTE |
| Address | Phone | Organization |
|---|---|---|
| 460 W 10th Ave, Columbus, OH 43210-1240 | 6142935066 | OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY, LLC |
| 915 Olentangy River Rd, Columbus, OH 43212-3153 | 6143663687 | OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY, LLC |
| Organization Legal Name | OSU OTOLARYNGOLOGY HEAD AND NECK SURGERY, LLC |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alexander A. Farag | Otolaryngology | Osu Otolaryngology Head and Neck Surgery, LLC | 915 Olentangy River Rd, Columbus, OH 43212-3153 |
| Bradley Alan Otto | Otolaryngology | Osu Otolaryngology Head and Neck Surgery, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Katherine Kyle Mead | Physician Assistant | Osu Otolaryngology Head and Neck Surgery, LLC | 460 W 10th Ave, Columbus, OH 43210-1240 |
| Kara Vasil | Qualified Audiologist | Osu Otolaryngology Head and Neck Surgery, LLC | 915 Olentangy River Rd, Columbus, OH 43212-3153 |
| Karen Sue Smith | Physician Assistant | Osu Otolaryngology Head and Neck Surgery, LLC | 460 W 10th Ave, Columbus, OH 43210-1240 |
| Amit Agrawal | Otolaryngology | Osu Otolaryngology Head and Neck Surgery, LLC | 460 W 10th Ave, Columbus, OH 43210-1240 |
| Aaron C Moberly | Otolaryngology | Osu Otolaryngology Head and Neck Surgery, LLC | 460 W 10th Ave, Columbus, OH 43210-1240 |
| Sara Jo Harbison | Nurse Practitioner | Osu Otolaryngology Head and Neck Surgery, LLC | 915 Olentangy River Rd, Columbus, OH 43212-3153 |
| Brenda B Hall | Qualified Audiologist | Osu Otolaryngology Head and Neck Surgery, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Gretchen L Waggoner | Qualified Audiologist | Osu Otolaryngology Head and Neck Surgery, LLC | 5175 Morse Rd, Gahanna, OH 43230-1370 |
| Street Address |
460 W 10TH AVE |
| City | COLUMBUS |
| State | OH |
| Zip | 43210-1240 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Albert J. Cook | Hospice/palliative Care | Osu Internal Medicine, LLC | 460 W 10th Ave, Osu Internal Medicine The New James, Columbus, OH 43210-1240 |
| Katherine Kyle Mead | Physician Assistant | Osu Otolaryngology Head and Neck Surgery, LLC | 460 W 10th Ave, Columbus, OH 43210-1240 |
| Kevin C. Foy | Nurse Practitioner | Osu Internal Medicine, LLC | 460 W 10th Ave, Osu Internal Medicine The New James, Columbus, OH 43210-1240 |
| Cheryl Taylore Lee | Urology | Osu Urology, LLC | 460 W 10th Ave, Columbus, OH 43210-1240 |
| Terence M Williams | Radiation Oncology | Osu Radiation Oncology LLC | 460 W 10th Ave, Fl 2, Columbus, OH 43210-1240 |
| Douglas A. Hardesty | Neurosurgery | Osu Health System Neurosurgery | 460 W 10th Ave, Columbus, OH 43210-1240 |
| Sarah J Everhart | Nurse Practitioner | Osu Internal Medicine, LLC | 460 W 10th Ave, Osu Internal Medicine The New James, Columbus, OH 43210-1240 |
| Megan Elizabeth Moore-weber | Nurse Practitioner | Osu Radiation Oncology LLC | 460 W 10th Ave, Fl 2, Columbus, OH 43210-1240 |
| Kevin M. Niswonger | Nurse Practitioner | Osu Internal Medicine, LLC | 460 W 10th Ave, Osu Internal Medicine The New James, Columbus, OH 43210-1240 |
| Mitva Jashu Patel | Diagnostic Radiology | Osu Radiology LLC | 460 W 10th Ave, Fl 4, Columbus, OH 43210-1240 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rafal Kopanczyk | Anesthesiology | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Hannah W. Lazar | Certified Registered Nurse Anesthetist (crna) | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Mary Carol Fortunato Shurman | Certified Registered Nurse Anesthetist (crna) | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Manoj H Iyer | Anesthesiology | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Nicole Ann Amore | Certified Registered Nurse Anesthetist (crna) | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Katja R Turner | Anesthesiology | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Michael K Essandoh | Anesthesiology | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Yen N. Vuong | Anesthesiology | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Shana Schwartz | Anesthesiology | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Stephen C. Sherer | Certified Registered Nurse Anesthetist (crna) | Osu Health System Anesthesia | 410 W Tenth Ave, N429 Doan Hall, Columbus, OH 43210 |
| Find all physicians in zip 43210 | |||
| City | COLUMBUS |
| Zip Code | 43210 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | COLUMBUS + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jameson K Mattingly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.