Individual provider Active NPI

Jayson Wolshire, M.ED, AT

  • Athletic Trainer
  • Columbus, OH
National Provider Identifier
1730577925
Registry record updated Dec 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT1165 Issued in OH
Practice address
1166 Dublin Rd
Columbus, OH 43215-1030
Phone
(937) 572-9911
NPI assigned
Dec 23, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT1165 OH Primary

Addresses

Primary practice location

1166 Dublin Rd
Columbus, OH 43215-1030

Mailing address

10225 Concord Rd
Dublin, OH 43017-8511
Phone (937) 572-9910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
AT1165OHMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1419292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1730577925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10225 CONCORD RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430178511",
            "telephone_number": "937-572-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 DUBLIN RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151030",
            "telephone_number": "937-572-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLSHIRE",
        "first_name": "JAYSON",
        "name_prefix": "Mr.",
        "credential": "M.ED, AT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT1165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.