Provider Demographics
NPI:1336146513
Name:USELMAN, JAMES H (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:H
Last Name:USELMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7527
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-0727
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:335 GLESSNER AVE FL MOB2
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-2269
Practice Address - Country:US
Practice Address - Phone:567-241-7700
Practice Address - Fax:567-241-7719
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.057177207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH310874776042OtherCARESOURCE PIN
OH7392952OtherCIGNA HEALTHCARE PIN
OH2430239Medicaid
KY64090343Medicaid
OH000000317273OtherANTHEM PIN
OH2430239Medicaid
OH000000317273OtherANTHEM PIN
OH7392952OtherCIGNA HEALTHCARE PIN
KY64090343Medicaid
OHP00085668Medicare PIN
OHUS4118352Medicare PIN