Individual provider Active NPI

Jaana Isis Motton

  • Physician Assistant
  • Reynoldsburg, OH
National Provider Identifier
1376050229
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7560 S Oakbrook Dr
Reynoldsburg, OH 43068-7232
Phone
(614) 378-9446
NPI assigned
Jan 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT005476 OH
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

7560 S Oakbrook Dr
Reynoldsburg, OH 43068-7232

Mailing address

7560 S Oakbrook Dr
Reynoldsburg, OH 43068-7232
Phone (614) 378-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119004757 OH Practitioner - Physician Assistant 3779018395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Ohio Hospitalists, IncGroup PAC ID 7810985686, 194 clinicians

Practice addresses (Care Compare)

2951 Maple Ave
Zanesville, OH 43701-1406
Phone (740) 454-4000

2971 Maple Ave
Zanesville, OH 43701-1406
Phone (614) 255-6900

3535 Olentangy River Rd
Columbus, OH 43214-3908
Phone (614) 566-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
AT005476OHMDAthletic Trainer

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1376050229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7560 S OAKBROOK DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687232",
            "telephone_number": "614-378-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7560 S OAKBROOK DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430687232",
            "telephone_number": "614-378-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTTON",
        "first_name": "JAANA",
        "middle_name": "ISIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-01",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT005476",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.