Active NPI
Edward B. Jamelarin
- Hematology & Oncology Physician
- Columbus, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- 35.085395
- Practice address
- 420 North James Rd
Chalmers P. Wylie VA Ambulatory Care Center
Columbus, OH 43219 - Phone
- (614) 257-5578
- Fax
- (614) 257-5792
- NPI assigned
- Jul 3, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | 35.085395 | OH | Primary |
Addresses
Primary practice location
420 North James Rd
Chalmers P. Wylie VA Ambulatory Care Center
Columbus, OH 43219
Mailing address
1458 Eber Lea Vis
Grove City, OH 43123-7900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150723006704 | OK | Practitioner - Hematology/Oncology | 4688737927 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Hematology/Oncology
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 14TH Ave NW
Ardmore, OK 73401-1828
Phone (580) 220-6132
1220 Hall PL
Ardmore, OK 73401-1815
Phone (580) 223-7091
4300 McAuley Blvd
Oklahoma City, OK 73120-8302
Phone (405) 936-5455
4300 W Memorial Rd
Oklahoma City, OK 73120-8304
Phone (405) 755-1515
Hospital & facility affiliations
- Mercy Hospital Ardmore, Inc
- Chickasaw Nation Medical Center
- Mercy Hospital Oklahoma City, Inc
- Mercy Hospital Ada
- Arbuckle Memorial Hospital Authority
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.085395 | OH | MD | Hematology & Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Oklahoma Communities | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Butler County, LTD | Past | Accepting new patients | |
| Mercy Hospital Oklahoma City, Inc | Past | Accepting new patients | |
| Mercy Hospital Ardmore, Inc | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Mercy Hospital Ardmore, Inc. | Past | Accepting new patients |
Locations
530 N Monte Vista St
Ste A
Ada, OK 74820
Phone (580) 310-9510
1220 Hall Pl
Ardmore, OK 73401
Phone (580) 220-6550
4300 W Memorial Rd
Oklahoma City, OK 73120
Phone (405) 752-3962
4300 McAuley Blvd
Oklahoma City, OK 73120
Phone (405) 936-5455
Interoperability endpoints
- ejamelarin705351@directc.mercy.net
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Franklin, OH
- NPI 1477592319
-
- Cardiovascular Disease Physician
- Ardmore, OK
- NPI 1578906657
-
- General Acute Care Hospital
- Ardmore, OK
- NPI 1386741635
-
- Diagnostic Radiology Physician
- Yukon, OK
- NPI 1730326406
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Primary Care Clinic/Center
- Tishomingo, OK
- NPI 1649330242
Hospital
-
- Primary Care Clinic/Center
- Ada, OK
- NPI 1962563148
Hospital
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280188800000",
"number": "1104024900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1458 EBER LEA VIS",
"city": "GROVE CITY",
"state": "OH",
"postal_code": "431237900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 NORTH JAMES RD",
"address_2": "CHALMERS P. WYLIE VA AMBULATORY CARE CENTER",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43219",
"telephone_number": "614-257-5578",
"fax_number": "614-257-5792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMELARIN",
"first_name": "EDWARD",
"middle_name": "B.",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-03",
"last_updated": "2010-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "OH",
"license": "35.085395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 27, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.