JACOB VONDERHEIDE
NPI 1093661175
Registered Nurse - Medical-Surgical in Columbus, OH
Active since March 10, 2026
About Jacob Vonderheide NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB VONDERHEIDE (NPI 1093661175) is an individual medical-surgical provider in Columbus, Ohio, licensed in Ohio (RN.543562) and active in the NPI registry since March 2026.
NPPES Registry Identity
NPI1093661175
Entity TypeIndividualMale
Primary Taxonomy163WM0705X
Provider Legal NameJACOB VONDERHEIDE
Location Address1577 NEIL AVEColumbus, OH 43210-1216
Mailing Address1577 Neil AveColumbus, OH 43210-1216
Phone(614) 292-4041
Sole ProprietorNo
Enumeration DateMarch 10, 2026
NPPES CertifiedMarch 10, 2026
✔ NPI 1093661175 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Medical-SurgicalNursing Service Providers
Taxonomy Code163WM0705X
License✔ Licensed in OH · RN.543562
1577 NEIL AVE, Columbus, OH 43210
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Primary Care)
1577 NEIL AVE
COLUMBUS, OH 43210
COLUMBUS, OH 43210
Student in an Organized Health Care Education/Training Program
1577 NEIL AVE
COLUMBUS, OH 43210
COLUMBUS, OH 43210
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093661175, enumerated as an "individual" on March 10, 2026.
The provider is located at 1577 NEIL AVE COLUMBUS, OH 43210 and the phone number is (614) 292-4041.
Registered Nurse with taxonomy code 163WM0705X and a focus in Medical-Surgical.
