COURTNEY JAYNE ROLAND (NPI# 1710210570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710210570 |
| Entity Type | Individual |
| Full Name | COURTNEY JAYNE ROLAND |
| Credential | PA-C |
| Practice Address |
111 S Grant Ave Ste 350 Columbus OH 43215 |
| Mailing Address |
5450 Frantz Rd Ste 360 Dublin OH 43016-4141 |
| Practice Telephone | 6145669160 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 50.002960 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
50.002960 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA PIN | 9747601 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 S Grant Ave Ste 350, Columbus, OH 43215 | 6145669160 |
| Street Address |
111 S GRANT AVE STE 350 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508873548 | Angela Earley | Surgery | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2006-08-02 |
| 1467059808 | Connor Prusz | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2020-10-08 |
| 1750931192 | Jordan Amanda Smith | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2019-09-18 |
| 1417515362 | Alexandra Elizabeth Weimer | Nurse Practitioner | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2019-06-04 |
| 1316502255 | Amanda Beth Hammond | Nurse Practitioner | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2019-05-07 |
| 1649730383 | Stephanie Gale Gross | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2019-03-20 |
| 1487126793 | Jerrin Richelle Hill | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2018-12-27 |
| 1053897330 | Caroline Nicole Holden | Nurse Practitioner | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2018-07-19 |
| 1700389988 | Alexandra Maria Perez | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2018-03-14 |
| 1457864902 | Brittany Lisjak | Physician Assistant | 111 S Grant Ave Ste 350, Columbus, OH 43215-4701 | 2017-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861936155 | Surgical Fusion, LLC | Physician Assistant | 605 N High St # 237, Columbus, OH 43215-2024 | 2016-12-06 |
| 1114177722 | Malachi Hutto IIi | Physician Assistant | 2300a Manchester Express Way Suite 101a, St. Francis Orthopaedic Institute, Columbus, GA 31904 | 2008-09-19 |
| 1518167279 | Howard A. Paskett | Physician Assistant | 2050 Kenny Rd Ste 3300, Columbus, OH 43221-3502 | 2007-07-20 |
| 1346440286 | Mary Fisher Feldman | Physician Assistant | N-839 Doan Hall 410 West 10th Ave., Osu Thoracic Surgery, Columbus, OH 43210-1240 | 2007-07-19 |
| 1033190723 | Brian Douglas Foor | Physician Assistant | 3465 Macon Rd, Ste D, Columbus, GA 31907-2582 | 2005-11-09 |
| 1063031516 | Erik C Zimmer | Physician Assistant | 285 E State St Ste 260, Columbus, OH 43215-4322 | 2020-04-15 |
| 1023662327 | Emily L Sedler | Physician Assistant | 940 N Marr Rd Ste C, Columbus, IN 47201-2610 | 2019-07-25 |
| 1225500127 | Eric M Ladow | Physician Assistant | 285 E State St Ste 400, Columbus, OH 43215-4354 | 2018-12-18 |
| 1629581178 | Frehun Ayele Asele | Physician Assistant | 700 Childrens Dr, Columbus, OH 43205-2664 | 2017-11-07 |
| 1437674793 | Monica Faye Mills | Physician Assistant | 255 Baptist Blvd Ste 401, Columbus, MS 39705 | 2017-08-08 |
| 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.