Individual provider Active NPI

Jacqueline Ward, MD

  • Internal Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1336103126
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35073821W Issued in OH
Practice address
175 W Galbraith Rd
Cincinnati, OH 45216-1015
Phone
(513) 418-5700
Fax
(513) 418-5773
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35073821W OH Primary

Addresses

Primary practice location

175 W Galbraith Rd
Cincinnati, OH 45216-1015

Mailing address

175 W Galbraith Rd
Cincinnati, OH 45216-1015
Phone (513) 418-5700

Other identifiers 2

IdentifierTypeStateIssuer
64076748MedicaidKY
2306703MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 15, 2024 through Oct 15, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35073821WOHMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: jacqueline.ward.1@25807.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1336103126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452161015",
            "telephone_number": "513-418-5700",
            "fax_number": "513-418-5773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 W GALBRAITH RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452161015",
            "telephone_number": "513-418-5700",
            "fax_number": "513-418-5773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "JACQUELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35073821W",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64076748",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2306703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.