Individual provider Active NPI

Jessica E Spelman, M.D.

  • Internal Medicine Physician
  • Marion, OH
National Provider Identifier
1609887017
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.079390 Issued in OH
Practice address
136 W Center St
Marion, OH 43302-3704
Phone
(740) 751-6229
Fax
(740) 382-8291
NPI assigned
Aug 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-079390 OH
Internal Medicine Physician 207R00000X 35.079390 OH Primary

Addresses

Primary practice location

136 W Center St
Marion, OH 43302-3704

Mailing address

136 W Center St
Marion, OH 43302-3704
Phone (740) 751-6229

Other identifiers 1

IdentifierTypeStateIssuer
2248688MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jspelman54886@direct.ohiohealth.com OhioHealth Physician Group

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
I20040629001675 OH Practitioner - Internal Medicine 8325024201 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

2295 W William St
Delaware, OH 43015-1361
Phone (740) 615-0100

Hospital & facility affiliations

  • Grady Memorial Hospital Hospital, Delaware, OH, CCN 360210
  • Riverside Methodist Hospital Hospital, Columbus, OH, CCN 360006
  • Grant Medical Center Hospital, Columbus, OH, CCN 360017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-079390OHMDSpecialist
35.079390OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation Internal Medicine Current Accepting new patients
Center Street Community Clinic Inc CurrentSince Jan 4, 2016 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 22, 2019 Accepting new patients
Center Street Community Clinic, Inc CurrentSince Jan 4, 2016 Accepting new patients
Marion Area Physicians LLC Internal Medicine CurrentSince Oct 28, 2018 Accepting new patients
Ohiohealth Corporation CurrentSince Dec 22, 2019 Accepting new patients
Ohiohealth Urgent Care LLC CurrentSince Apr 1, 2020 Accepting new patients
Grady Memorial Hospital Past Accepting new patients
Hospitalist Services Medical Group of Marysville Inc Internal Medicine Past Accepting new patients
Marysville Emergency Physicians Inc. Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3652
Columbus, OH 43260

Dept L3652
Columbus, OH 43260

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

2295 W William St
Delaware, OH 43015
Phone (740) 615-0100

6 Lexington Blvd
Delaware, OH 43015
Phone (740) 363-9021

801 Ohio Health Blvd
Ste 260
Delaware, OH 43015
Phone (740) 615-0500

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

1040 Delaware Ave
Marion, OH 43302
Phone (330) 256-9874

136 W Center St
Marion, OH 43302
Phone (740) 751-4531

500 London Ave
Marysville, OH 43040
Phone (740) 420-8451

4141 N Hampton Dr
Ste 103
Powell, OH 43065
Phone (740) 615-2850

4141 N Hampton Dr
Ste 100
Powell, OH 43065
Phone (614) 764-0200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1609887017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023704",
            "telephone_number": "740-751-6229",
            "fax_number": "740-382-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W CENTER ST",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433023704",
            "telephone_number": "740-751-6229",
            "fax_number": "740-382-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELMAN",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-079390",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.079390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2248688",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspelman54886@direct.ohiohealth.com",
            "affiliation": "Y",
            "affiliationName": "OhioHealth Physician Group",
            "address_1": "2295 W William St",
            "city": "Delaware",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430151361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.