1. Home
  2. Directory
  3. Ohio
  4. Columbus
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

JACK WILLIAM HEALY MD
NPI 1285485649
Student in an Organized Health Care Education/Training Program in Columbus, OH

Active since April 01, 2024PECOS Enrolled
376 W. 10TH AVE, 774 PRIOR HALL, COLUMBUS, OH 43210(614) 293-8306 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jack William Healy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK WILLIAM HEALY MD (NPI 1285485649) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285485649
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK WILLIAM HEALYCredential: MD
Location Address376 W. 10TH AVE, 774 PRIOR HALLColumbus, OH 43210
Mailing Address376 W. 10th Ave, 774 Prior HallColumbus, OH 43210
Phone(614) 293-8306
Sole ProprietorNo
Enumeration DateApril 1, 2024
NPPES CertifiedApril 1, 2024
✔ NPI 1285485649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
376 W. 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack William Healy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BOBBAK TADAYON
Emergency Medicine
376 W. 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3570
HOUSTON JAMES HICKEY MD
Student in an Organized Health Care Education/Training Program
376 W. 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-8306
NICHOLAUS CUMMINS
Student in an Organized Health Care Education/Training Program
376 W. 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-8306
MITHIL SHAH
Emergency Medicine
376 W. 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-8306
ADRIENNE SABINE BECK
Student in an Organized Health Care Education/Training Program
376 W. 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-8306
ROBERT STEPHEN BEDENBAUGH MD
Emergency Medicine
376 W. 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3570
KIM LARISSA MOELLER MD
Student in an Organized Health Care Education/Training Program
376 W. 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-8306
CHASE FOY
Emergency Medicine
376 W. 10TH AVE, 774 PRIOR HALL
COLUMBUS, OH 43210
Franklin County (614) 293-3570

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Healy's NPI number?

The NPI number for Jack Healy is 1285485649. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Jack Healy located?

Jack Healy practices at 376 W. 10th Ave 774 Prior Hall, Columbus, OH 43210. The listed phone number is (614) 293-8306.

What is Jack Healy's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jack Healy enrolled in Medicare?

Yes. Jack Healy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Healy was last updated on April 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.