LOIS B JETTY (NPI# 1154342020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154342020 |
| Entity Type | Individual |
| Full Name | LOIS B JETTY |
| Credential | MD |
| Practice Address |
4439 State Route 159 Ste G10 Chillicothe OH 45601-8207 |
| Mailing Address |
4439 State Route 159 Ste G10 Chillicothe OH 45601-7708 |
| Practice Telephone | 7407794300 |
| Practice Fax Number | 7407794390 |
| Mailing Telephone | 7407794300 |
| Mailing Fax Number | 7407794391 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35.068325 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0189933 | 05 |
| Street Address |
4439 STATE ROUTE 159 STE G10 |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601-8207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841284247 | John L Fortney | Pediatrics | 4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 | 2005-08-31 |
| 1366988990 | Rebecca E Yinger | Advanced Practice Midwife | 4439 State Route 159, Suite 120, Chillicothe, OH 45601-8207 | 2017-01-06 |
| 1265885602 | Megan Elizabeth Bohrer | Physician Assistant | 4439 State Route 159, Suite G50, Chillicothe, OH 45601-8207 | 2016-07-21 |
| 1326402421 | Michelle Alexandra Adkins | Nurse Practitioner | 4439 State Route 159, Suite 150, Chillicothe, OH 45601-8207 | 2016-04-05 |
| 1144652967 | Michelle Lynn Smith | Nurse Practitioner | 4439 State Route 159, Suite G10, Chillicothe, OH 45601-8207 | 2013-08-02 |
| 1336487404 | Mary Kathleen Brooks | Nurse Practitioner | 4439 State Route 159, Suite 210, Chillicothe, OH 45601-8207 | 2013-01-24 |
| 1326320557 | Adena Pharmacy, LLC | Pharmacy | 4439 State Route 159, Suite G40, Chillicothe, OH 45601-8207 | 2011-09-14 |
| 1730499443 | Kathy M. Corcoran-sutter | Nurse Practitioner | 4439 State Route 159, Chillicothe, OH 45601 | 2010-10-15 |
| 1891008454 | Kenneth W Vandyke | Internal Medicine | 4439 State Route 159, Suite 150, Chillicothe, OH 45601-8207 | 2010-07-23 |
| 1750512349 | Gregory M Thompson | Radiology | 4439 State Route 159, Chillicothe, OH 45601-8207 | 2009-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225057722 | Heather M Sever | Pediatrics | 1264 Hospital Rd, Chillicothe, OH 45601-7100 | 2006-07-18 |
| 1275567240 | Amy K Luckeydoo | Pediatrics | 1264 Hospital Road, Chillicothe, OH 45601-7100 | 2006-07-10 |
| 1346237385 | Sanjay Mardolkar | Pediatrics | 4439 State Route 159 Ste G10, Chillicothe, OH 45601-7708 | 2005-10-04 |
| 1609266774 | Mekam Tochukwu Okoye | Pediatrics | 272 Hospital Rd, Chillicothe, OH 45601-9031 | 2015-01-28 |
| 1659558526 | Adena Health System | Pediatrics | 4439 State Route 159, Suite G10, Chillicothe, OH 45601-8207 | 2008-01-23 |
| 1285838243 | Laura Sue Wills | Pediatrics | 4439 State Route 159, Suite G10, Chillicothe, OH 45601-8207 | 2007-06-13 |
| 1205845526 | Kantima C Jane-wit | Pediatrics | 4439 State Route 159, Suite G10, Chillicothe, OH 45601-8207 | 2006-08-05 |
| 1306855614 | Stephen Fleischer | Pediatrics | 4439 State Route 159, Suite G10, Chillicothe, OH 45601-8207 | 2006-08-05 |
| 1356363261 | Boguslawa Hyziak | Pediatrics | 4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 | 2006-07-24 |
| 1770504656 | Sathish V Jetty | Pediatrics | 4439 State Route 159, Ste G10, Chillicothe, OH 45601-8207 | 2006-07-23 |
| Find all providers in CHILLICOTHE | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.