DR. JESSE LEE CAPONE (NPI# 1396039103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396039103 |
| Entity Type | Individual |
| Full Name | DR. JESSE LEE CAPONE |
| Credential | M.D. |
| Practice Address |
5193 W Broad St Columbus OH 43228-1691 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 6145441450 |
| Practice Fax Number | 6145330136 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2019-06-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35123787 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PENDING | 05 |
| Street Address |
5193 W BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43228-1691 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578562153 | Steven N Miller | Obstetrics & Gynecology | 5193 W Broad St, Suite 200, Columbus, OH 43228-1691 | 2005-07-18 |
| 1770130072 | Kirstan Law | Physical Therapy Assistant | 5193 W Broad St, Columbus, OH 43228-1691 | 2019-08-21 |
| 1689157968 | Trisha Conlan | Physical Medicine & Rehabilitation | 5193 W Broad St, Columbus, OH 43228-1691 | 2018-09-12 |
| 1467935171 | Laura Wegener | Physical Therapist | 5193 W Broad St, Columbus, OH 43228-1691 | 2018-09-09 |
| 1144703059 | Janet Rowse | Occupational Therapist | 5193 W Broad St, Columbus, OH 43228-1691 | 2018-09-07 |
| 1336692433 | Michelle Lynn Gromofsky | Nurse Practitioner | 5193 W Broad St, Columbus, OH 43228-1691 | 2016-07-26 |
| 1467679365 | Paul Edward Harris IIi | Family Medicine | 5193 W Broad St, Columbus, OH 43228-1691 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
| 1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
| 1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
| 1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
| 1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
| 1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
| 1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
| 1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
| Find all providers in zip 43228 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252757 | Eventus Wholehealth Midwest Inc | Family Medicine | 2100 Midway St # 3722, Columbus, IN 47201-3722 | 2020-07-21 |
| 1699320705 | Kelly Cephas-hill | Family Medicine | 2339 Linden Ave, Columbus, OH 43211-1631 | 2019-08-06 |
| 1043877962 | 1 On 1 Staffing and Wellness Clinic | Family Medicine | 1315 Delauney Ave Ste 201-a, Columbus, GA 31901-2367 | 2019-05-27 |
| 1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
| 1134635105 | 138 Med | Family Medicine | 30 Lakeridge Ct, Columbus, GA 31904-1800 | 2017-12-28 |
| 1689193922 | Timothy John Moore | Family Medicine | 180 Reinhard Ave, Columbus, OH 43206-2635 | 2017-09-19 |
| 1013437532 | Mission Medical Associates, Inc. | Family Medicine | 589 Peniel Rd, Columbus, NC 28722 | 2017-06-26 |
| 1942735287 | Dean Fordham | Family Medicine | 6886 Shadybrook Trl, Columbus, GA 31904-3802 | 2017-04-24 |
| 1487188587 | Steven Hanrahan | Family Medicine | 2000 10th Ave Ste 380, Columbus, GA 31901-3709 | 2017-04-14 |
| 1962935866 | Alexandra Blood | Family Medicine | 5868 N Hamilton Rd Ste 200, Columbus, OH 43230-1328 | 2017-04-07 |
| Find all providers in COLUMBUS | ||||
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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.