Individual provider Active NPI

Jason William Nash, D.O.

  • Clinical Pathology/Laboratory Medicine Physician
  • Westerville, OH
National Provider Identifier
1407961576
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
34007728 Issued in OH
Practice address
235 W. Schrock Rd
Westerville, OH 43081-2874
Phone
(614) 895-0400
Fax
(614) 895-2911
NPI assigned
Aug 20, 2006
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 41463 TX
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 34007728 OH Primary

Addresses

Primary practice location

235 W. Schrock Rd
Westerville, OH 43081-2874

Mailing address

428 Country Line Rd, West
Westerville, OH 43082-7294
Phone (614) 847-4100

Other identifiers 1

IdentifierTypeStateIssuer
2752534MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000011 OH Practitioner - DermatologyPractitioner - Pathology 9739186883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Pathology
Education
Ohio University, College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians

Practice addresses (Care Compare)

428 County Line Rd W
Westerville, OH 43082-7027
Phone (614) 847-4100

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41463TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Skin & Cancer Inc CurrentSince Jun 1, 2007 Accepting new patients
Westerville Dermatology, Inc. CurrentSince May 25, 2021 Accepting new patients
Central Ohio Skin & Cancer Inc CurrentSince Jun 1, 2007 Accepting new patients
Center for Surgical Dermatology Inc CurrentSince Apr 1, 2019 Accepting new patients
CSD ASC LLC Past Accepting new patients

Locations

235 W Schrock Rd
Westerville, OH 43081
Phone (614) 895-0400

300 Polaris Pkwy
Ste 3300
Westerville, OH 43082
Phone (614) 898-7546

428 County Line Rd W
Westerville, OH 43082
Phone (614) 847-4100

428 County Line Rd W
Ste 100
Westerville, OH 43082
Phone (614) 847-4100

430 Altair Pkwy
Ste 210
Westerville, OH 43082
Phone (614) 898-7546

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1407961576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 COUNTRY LINE RD, WEST",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827294",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W. SCHROCK RD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430812874",
            "telephone_number": "614-895-0400",
            "fax_number": "614-895-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NASH",
        "first_name": "JASON",
        "middle_name": "WILLIAM",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "TX",
            "license": "41463",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "OH",
            "license": "34007728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2752534",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.