JESSICA LYNN BOETCHER (NPI# 1841671138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841671138 |
| Entity Type | Individual |
| Full Name | JESSICA LYNN BOETCHER |
| Credential | PA-C |
| Practice Address |
3062 Kingsdale Ctr Upper Arlington OH 43221 |
| Mailing Address |
3062 Kingsdale Ctr Upper Arlington OH 43221-2020 |
| Practice Telephone | 6144841940 |
| Practice Fax Number | 6144841941 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
50.004239 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 269 Portland Way S, Galion, OH 448332312 | 4194684841 |
| Street Address |
3062 KINGSDALE CTR |
| City | UPPER ARLINGTON |
| State | OH |
| Zip Code | 43221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400157 | Whitney Khaira | Physician Assistant | 3062 Kingsdale Ctr, Upper Arlington, OH 43221-2020 | 2015-02-26 |
| 1255624722 | Arlington Urgent Care, Inc | Clinic/Center | 3062 Kingsdale Ctr, Upper Arlington, OH 43221-2020 | 2011-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089627 | Leora A Sales | Behavior Technician | 3070 Riverside Dr, Ste 200, Columbus, Oh, Columbus, OH 43221 | 2020-10-05 |
| 1215405691 | Mary E Altiero | Registered Nurse | 3041 Mountview Rd, Columbus, OH 43221 | 2018-11-05 |
| 1396157228 | Heavenly Help LLC | Home Health | 2903 Brandon Road, Columbus, OH 43221 | 2014-05-27 |
| 1679824767 | Danielle Leigh Prater | Occupational Therapy Assistant | 5222 York County Rd., Columbus, OH 43221 | 2012-09-28 |
| 1669745279 | James Francis Hamilton | Dermatology | 1710 Essex Rd, Columbus, OH 43221 | 2012-02-13 |
| 1033494125 | Katherine Ann Friz | Mechanotherapist | 1840 Zollinger Rd Suite A, Columbus, OH 43221 | 2011-10-20 |
| 1942513908 | Adelaide Wilma Koestner | Pathology | 3175 Tremont Rd., #410, Columbus, OH 43221 | 2010-07-20 |
| 1003006909 | Julia Ann Pinkham | Acupuncturist | 2170 Riverside Dr, Columbus, OH 43221 | 2007-07-26 |
| 1750592796 | Christopher Scott Mckenzie | Physical Therapist | The Ohio State University Sports Medicine Center, 2050 Kenny Rd. Morehouse Building, Columbus, OH 43221 | 2007-05-24 |
| 1538379169 | Melissa Shearer Kidder | Physical Therapist | Osu Sports Medicine Center, 2050 Kenny Road, Columbus, OH 43221 | 2007-05-23 |
| Find all providers in zip 43221 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023400157 | Whitney Khaira | Physician Assistant | 3062 Kingsdale Ctr, Upper Arlington, OH 43221-2020 | 2015-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618428 | Stephanie Ann Keener | Physician Assistant | 7774 Hythe Cir, Centerville, OH 45459-8705 | 2020-10-27 |
| 1174122600 | Maria Drankov Lane | Physician Assistant | 1806 Muskegon Dr, Cincinnati, OH 45255-2635 | 2020-10-26 |
| 1326647512 | Junell Rutledge | Physician Assistant | 644 High St, Youngstown, OH 44502-1562 | 2020-10-20 |
| 1699372383 | Samantha Kibler | Physician Assistant | 7337 Caritas Cir Nw Ste 150, Massillon, OH 44646-9128 | 2020-10-06 |
| 1982218186 | Morgan Holmes | Physician Assistant | 65 Community Rd Ste F, Tallmadge, OH 44278-2358 | 2020-09-04 |
| 1902456023 | Kara Meyer | Physician Assistant | 2417 Derbyshire Ct, Cleveland Heights, OH 44106-2778 | 2019-09-19 |
| 1679122394 | Mariah Bower | Physician Assistant | 2725 Hampshire Rd Apt 3, Cleveland, OH 44106-2570 | 2019-09-05 |
| 1457908014 | Kristen Fairchild | Physician Assistant | 4235 Secor Rd Bldg 2, Toledo, OH 43623-4231 | 2019-08-19 |
| 1811549462 | Abigail Malsch | Physician Assistant | 2376 Fenwood Rd, University Heights, OH 44118-3804 | 2019-07-14 |
| 1164087466 | Jessica Lee Schulte | Physician Assistant | 1110 West Main Cross St., Findlay, OH 45840-2423 | 2019-05-02 |
| Find all providers with the same taxonomy | ||||
| City | UPPER ARLINGTON |
| Zip Code | 43221 |
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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.