Joseph G Jacko, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.055488 Issued in OH

Practice address

4885 Olentangy River Rd
Suite 2-50
Columbus, OH 43214-1952

Phone

(614) 451-1551

Fax

(614) 451-2326

NPI assigned

Jun 23, 2005

Last updated

Jul 30, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.jacko@819536679665668.direct.elationemr.com

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.

• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194
  Medicare reassignment NPD
• First Step Recovery Center

  • Addiction Medicine (Family Medicine) Physician
  • Reynoldsburg, OH
  • NPI 1467826453
  Medicare reassignment NPD
• Central Ohio Primary Care Physicians, Inc.

  • Clinical Medical Laboratory
  • Westerville, OH
  • NPI 1639279045
  NPD
• First Step Recovery Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Reynoldsburg, OH
  • NPI 1477004810
  NPD
• Lima Memorial Joint Operating Company

  dba Lima Memorial Health System

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Greenville Health System

  dba GHS Cardiovascular SVCS Simp

  • General Acute Care Hospital
  • Simpsonville, SC
  • NPI 1679992838
  NPD (past)
• Mary Black Physician Services LLC

  • Nurse Practitioner
  • Duncan, SC
  • NPI 1811950645
  NPD (past)
• Mary Black Physician Services, LLC

  dba Steadman Hawkins Clinic of the Carolinas

  • Durable Medical Equipment & Medical Supplies
  • Spartanburg, SC
  • NPI 1568655587
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1730185844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD",
            "address_2": "SUITE 2-50",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141952",
            "telephone_number": "614-451-1551",
            "fax_number": "614-451-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 OLENTANGY RIVER RD",
            "address_2": "SUITE 2-50",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141952",
            "telephone_number": "614-451-1551",
            "fax_number": "614-451-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKO",
        "first_name": "JOSEPH",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.055488",
            "primary": true
        },
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "OH",
            "license": "35.055488",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070272",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jack Stoneburner & Associates LLC
• Andrew Jack
• Haejin Jack, APRN-CNP
• Melinda Kristine Jack, M.D.
• Karen Achie Jackman, D.C.
• Hannah Jackowski, RD
• Michael J Jackowski
• Amy Elizabeth Jacks, MD
• Sue Ann Jacks, RN
• Jessica Lynn Jackson Love, DOULA

• Internal Medicine Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.