Kris R Jatana, MD | |
555 S 18th St, Columbus, OH 43205-2654 | |
(614) 722-6200 | |
(614) 722-6560 |
Full Name | Kris R Jatana |
---|---|
Gender | Male |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 555 S 18th St, Columbus, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134169956 | NPI | - | NPPES |
2674173 | Medicaid | OH | |
H139060 | Other | OH | CGS - MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 35087530 (Ohio) | Secondary |
208600000X | Surgery | 35087530 (Ohio) | Secondary |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 35087530 (Ohio) | Primary |
Entity Name | Children's Surgical Associates, Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417905324 PECOS PAC ID: 1254328511 Enrollment ID: O20040428000888 |
Entity Name | Mercy Health Physicians-north Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609000769 PECOS PAC ID: 2668522400 Enrollment ID: O20090616000750 |
Entity Name | Mercy Health Physicians North Specialty Care Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
Entity Name | Northwest Pediatric Specialists, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359 |
Mailing Address | Practice Location Address |
---|---|
Kris R Jatana, MD 700 Childrens Dr, Columbus, OH 43205-2664 Ph: (614) 722-2000 | Kris R Jatana, MD 555 S 18th St, Columbus, OH 43205-2654 Ph: (614) 722-6200 |
Alexander Nelson Rock, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 915 Olentangy River Rd Ste 4000, Columbus, OH 43212 Phone: 614-293-9215 Fax: 614-293-1923 | |
Naomi Rabinovics, Otolaryngology Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd, Columbus, OH 43212 Phone: 614-293-9215 Fax: 614-293-1923 | |
Taylor Elaine Freeman, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd Ste 4000, Columbus, OH 43212 Phone: 614-293-9215 Fax: 614-293-1923 | |
Subinoy Das, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 770 Jasonway Ave Ste 1b, Columbus, OH 43214 Phone: 614-867-3681 Fax: 614-914-5025 | |
Ryan John Ivancic, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 915 Olentangy River Rd Ste 4000, Columbus, OH 43212 Phone: 614-293-9215 Fax: 614-293-1923 | |
Dr. Amit Agrawal, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 460 W 10th Ave Fl 5, Columbus, OH 43210 Phone: 614-293-8074 Fax: 614-293-3193 | |
Karen Hall Calhoun, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 915 Olentangy River Rd, Suite 4000, Columbus, OH 43212 Phone: 614-366-3687 Fax: 614-293-6176 |