Individual
DR. JAY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3595 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3440
(614) 566-5456
(614) 566-6902
Mailing address
3595 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3440
(614) 566-5456
(614) 566-6902
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34.013235
OH
208M00000X
Hospitalist Physician
34.013235
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0292549
—
OH
01
—
H628902
MEDICARE OHIOHEALTH
OH
01
—
P02248135
RRM
OH
Enumeration date
03/31/2015
Last updated
01/25/2022
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