Jack Stanko MD LLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

JACK STANKO MD LLC

Practice address

147 Schoolhouse LN
Columbus, OH 43228-1214

Phone

(614) 996-8011

Fax

(614) 996-8015

NPI assigned

Jul 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michele Holbert

Title

Office Manager

Phone

(614) 996-8011

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1194924431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 SCHOOLHOUSE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281214",
            "telephone_number": "614-996-8011",
            "fax_number": "614-996-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 SCHOOLHOUSE LN",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432281214",
            "telephone_number": "614-996-8011",
            "fax_number": "614-996-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK STANKO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "HOLBERT",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-996-8011"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0063802",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawood Jabbar
• Hawa J Jabbie, LPN
• Frida Jabea Ngalle
• Marvin Frank Jabero, D.D.S.
• Jacinto W. Beard D.D.S., Inc.
• Jack Stoneburner & Associates LLC
• Andrew Jack
• Haejin Jack, APRN-CNP
• Melinda Kristine Jack, M.D.
• Karen Achie Jackman, D.C.

• Interventional Cardiology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Interventional Cardiology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.