Individual
JACOB A NYSATHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9275 MONTGOMERY RD, MONTGOMERY, OH 45242-7779
(513) 475-8525
(513) 936-4511
Mailing address
PO BOX 636256, CINCINNATI, OH 45263-6256
(513) 585-6200
(513) 245-3672
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0116030769
VA
207RN0300X
Nephrology Physician
Primary
34.015521
OH
208M00000X
Hospitalist Physician
34.015521
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462231
—
OH
Enumeration date
06/21/2017
Last updated
03/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us