Active NPI
Jacqueline Nwando Olayiwola, MD
- Family Medicine Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35137342
- Practice address
- 543 Taylor Ave FL 2
Columbus, OH 43203-1278 - Phone
- (614) 688-6490
- Fax
- (614) 688-6491
- NPI assigned
- Jul 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35137342 | OH | Primary |
Addresses
Primary practice location
543 Taylor Ave FL 2
Columbus, OH 43203-1278
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 688-6490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236346 | Medicaid | CT |
Other names 1
- Jacqueline Nwando Onyejekwe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35137342 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart of Ohio Family Health Centers | Current | Accepting new patients | |
| Heart of Ohio Family Health Centers | Current | Accepting new patients | |
| Heart of Ohio Family Health Centers | Current | Accepting new patients | |
| Carbon Health Primary Care of California PC | Family Medicine | Past | Accepting new patients |
Locations
3601 Gender Rd
Canal Wnchstr, OH 43110
Phone (614) 235-5555
2365 Innis Rd
Columbus, OH 43224
Phone (614) 235-5555
5000 E Main St
Whitehall, OH 43213
Phone (614) 235-5555
Interoperability endpoints
- nolayiwola756291@direct.osumc.edu
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Capital Park Family Health Center
- Federally Qualified Health Center (FQHC)
- Columbus, OH
- NPI 1275714289
-
dba Heart of Ohio Family Health OB-GYN at St. Ann's
- Federally Qualified Health Center (FQHC)
- Westerville, OH
- NPI 1255041190
-
dba James B. Feibel Center
- Federally Qualified Health Center (FQHC)
- Whitehall, OH
- NPI 1306083340
-
- Multi-Specialty Clinic/Center
- Berkeley, CA
- NPI 1972057990
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1073510103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-688-6490",
"fax_number": "614-688-6491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "543 TAYLOR AVE FL 2",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432031278",
"telephone_number": "614-688-6490",
"fax_number": "614-688-6491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLAYIWOLA",
"first_name": "JACQUELINE",
"middle_name": "NWANDO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-05",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35137342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236346",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "ONYEJEKWE",
"middle_name": "NWANDO",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.