Active NPI
Jean M Atwood, M.D.
- Obstetrics & Gynecology Physician
- Columbus, OH
National Provider Identifier
1184689226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35059321
- Practice address
- 3600 Stelzer Road
Suite 220
Columbus, OH 43219 - Phone
- (614) 475-0811
- Fax
- (614) 475-0857
- NPI assigned
- Apr 20, 2006
- Last updated
- Feb 11, 2019
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35059321 | OH | Primary |
Addresses
Primary practice location
3600 Stelzer Road
Suite 220
Columbus, OH 43219
Mailing address
3600 Stelzer Road
Suite 220
Columbus, OH 43219
Phone (614) 475-0811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0825076 | Medicaid | OH | |
| 160043334 | Other | OH | RAILROAD MEDICARE |
Other names 1
- Jean M Atwood-Nickell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Carmel Healthproviders Two LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Surgery Physician
- Columbus, OH
- NPI 1528203981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549843200000",
"number": "1184689226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 STELZER ROAD",
"address_2": "SUITE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43219",
"telephone_number": "614-475-0811",
"fax_number": "614-475-0857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 STELZER ROAD",
"address_2": "SUITE 220",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "43219",
"telephone_number": "614-475-0811",
"fax_number": "614-475-0857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWOOD",
"first_name": "JEAN",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-20",
"last_updated": "2019-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35059321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0825076",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160043334",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JEAN",
"last_name": "ATWOOD-NICKELL",
"middle_name": "M",
"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 Feb 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.